Dominique Nguyen
Family Doctor
916 Koala Dr
Omak
, Washington 98841-9759
Dominique Nguyen
Family Doctor
916 Koala Dr
Omak
, Washington 98841-9759
(509) 663-8711
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dominique Nguyen
- 3124 S 19th St Ste C140
- Tacoma, WA
- Zip : 98405-2479
- Phone : (509) 663-8711
Second Address
- Dominique Nguyen
- 916 Koala Dr
- Omak, WA
- Zip : 98841-9759
- Phone : (509) 663-8711
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD60872504 | WA |
National Provider Identifier
| NPI | 1003263617 |
|---|---|
| Provider Name | Dominique Nguyen |
| First Address | Tacoma, WA 98405-2479 |
| Second Address | Omak, WA 98841-9759 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2016 |
| Last Update Date | 02/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2059456 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.