Provider Demographics
NPI:1669105367
Name:ANTHONY C NGUYEN MD
Entity type:Organization
Organization Name:ANTHONY C NGUYEN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:CAO HUNG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-593-3825
Mailing Address - Street 1:1849 NE 106TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97006-6465
Mailing Address - Country:US
Mailing Address - Phone:503-406-9859
Mailing Address - Fax:503-300-4691
Practice Address - Street 1:1849 NE 106TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97006-6465
Practice Address - Country:US
Practice Address - Phone:503-406-9859
Practice Address - Fax:503-300-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health