Provider Demographics
NPI:1720215536
Name:NGUYEN COLE, MUOI RILEY (PSYD)
Entity Type:Individual
Prefix:
First Name:MUOI
Middle Name:RILEY
Last Name:NGUYEN COLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MUOI
Other - Middle Name:THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 4404
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-4404
Mailing Address - Country:US
Mailing Address - Phone:503-694-9900
Mailing Address - Fax:
Practice Address - Street 1:132 GLYNBROOK ST N STE B
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5796
Practice Address - Country:US
Practice Address - Phone:503-694-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3131103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist