Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | OP60480468 | WA |
N | 207T00000X | Neurosurgeon | OP60480468 | WA |
NPI | 1568691251 |
---|---|
Provider Name | Oanh Nguyen |
First Address | Tacoma, WA 98405-4930 |
Second Address | Tacoma, WA 98405-4930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 08/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2039349 | (05) | WA |