Bounthieng S. Ouanesisouk, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

200541699RN Issued in OR

Practice address

19313 Gentry Highlands LN
Oregon City, OR 97045-7577

Phone

(503) 442-9573

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1114194602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19313 GENTRY HIGHLANDS LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457577",
            "telephone_number": "503-442-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19313 GENTRY HIGHLANDS LN",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457577",
            "telephone_number": "503-442-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUANESISOUK",
        "first_name": "BOUNTHIENG",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "200541699RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Eve Orich
• Mandi Oropeza
• Matthew David Orth, D.O.
• Selena Ortiz
• Madissen Kate Ostergaard, LMT
• Kevin Mark Ounjian, DC
• Brittany Rose Oxford
• Pacific Primary Care and Integrative Health, Inc.
• Pacific Rise Care LLC
• Pacific Synergies NW LLC

• Medical-Surgical Registered Nurse in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Medical-Surgical Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.