| Doctor Name: | KIM THIEN NGUYEN |
| NPI Number: | 1265896724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 201142010RN |
| Business Practice Address: | 1175 Mount Hood Ave Woodburn, OR - 970719060 |
| Business Phone Number: | 5039820635 |
| Business Fax Number: | 5039823429 |
| Mailing Address: | 1175 Mount Hood Ave, WOODBURN |
| State: | OR |
| Postal Code: | 970719060 |
| Phone Number: | 5039820635 |
| Fax Number: | 5039823429 |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 201142010RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |