Provider Demographics
NPI:1497952360
Name:NGUYEN, YEN HAI (DO)
Entity Type:Individual
Prefix:
First Name:YEN
Middle Name:HAI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 BLANKENSHIP RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-5100
Mailing Address - Country:US
Mailing Address - Phone:503-210-4900
Mailing Address - Fax:503-210-4998
Practice Address - Street 1:1750 BLANKENSHIP RD STE 300
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-5100
Practice Address - Country:US
Practice Address - Phone:503-210-4900
Practice Address - Fax:503-210-4998
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR1084207Q00000X
ORDO 152040207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine