Provider Demographics
NPI:1639515539
Name:NGUYEN, HUYTUONG VU (DC)
Entity Type:Individual
Prefix:
First Name:HUYTUONG
Middle Name:VU
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11661 SE 1ST ST STE 203
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3526
Mailing Address - Country:US
Mailing Address - Phone:425-772-0251
Mailing Address - Fax:
Practice Address - Street 1:11661 SE 1ST ST STE 203
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3526
Practice Address - Country:US
Practice Address - Phone:425-772-0251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor