Provider Demographics
NPI:1144556861
Name:NGUYEN, DU (MSW)
Entity type:Individual
Prefix:
First Name:DU
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 NW 182ND AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-3413
Mailing Address - Country:US
Mailing Address - Phone:310-923-5762
Mailing Address - Fax:
Practice Address - Street 1:283 NW 182ND AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-3413
Practice Address - Country:US
Practice Address - Phone:310-923-5762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner