Provider Demographics
NPI:1689309601
Name:NGHIEM, CHRISTINE QUYNH-HUONG (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:QUYNH-HUONG
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 NW NAHCOTTA ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7506
Mailing Address - Country:US
Mailing Address - Phone:503-381-9648
Mailing Address - Fax:
Practice Address - Street 1:14411 NE FOURTH PLAIN BLVD STE 134
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-5001
Practice Address - Country:US
Practice Address - Phone:360-768-0936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61326877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist