Provider Demographics
NPI:1770387631
Name:NGUYEN, HANH NGOC
Entity type:Individual
Prefix:
First Name:HANH
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 N FLINT AVE APT 305
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-2131
Mailing Address - Country:US
Mailing Address - Phone:971-413-9020
Mailing Address - Fax:
Practice Address - Street 1:999 ABERNETHY RD
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-1175
Practice Address - Country:US
Practice Address - Phone:503-891-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health