Provider Demographics
NPI:1346753605
Name:NGUYEN, STEVEN DUY (ND, LAC, LMT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:ND, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9326 SE HARNEY CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-6138
Mailing Address - Country:US
Mailing Address - Phone:703-984-9709
Mailing Address - Fax:
Practice Address - Street 1:1954 SE 182ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-5602
Practice Address - Country:US
Practice Address - Phone:503-305-6881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC210340171100000X
OR22773225700000X
OR4449175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist