Lan-Anh Khac Nguyen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD177479 Issued in OR

Practice address

1321 NE 99TH Ave Ste 100
Portland, OR 97220-9437

Phone

(503) 215-9900

NPI assigned

Nov 16, 2006

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Anh K Nguyen Other name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Express Care Or PC

  dba Providence Express Care

  • General Practice Physician
  • Portland, OR
  • NPI 1205499126
  Medicare reassignment NPD
• Providence Health & Services Oregon

  dba Providence Medical Group

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  Medicare reassignment NPD
• Express Care Wa PC

  • General Practice Physician
  • Lacey, WA
  • NPI 1821554452

  OR

  Medicare reassignment NPD
• Providence Health & Service - Oregon

  dba Providence Medical Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Portland, OR
  • NPI 1457625501
  NPD
• Providence Health & Services Oregon

  dba Providence Medical Group

  • Psychiatry Physician
  • Portland, OR
  • NPI 1760177737
  NPD
• Klickitat County Public Hospital Dist No 1

  dba Klickitat Valley Health

  • Clinic/Center
  • Goldendale, WA
  • NPI 1669634747
  NPD (past)
• Klickitat County Public Hospital Dist No 1

  dba Klickitat Valley Health

  • Land Ambulance
  • Goldendale, WA
  • NPI 1801058318
  NPD (past)
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  NPD (past)
• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Rural Health Clinic/Center
  • Goldendale, WA
  • NPI 1407952369
  NPD (past)
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Health

  • Community Based Hospice Care Agency
  • Goldendale, WA
  • NPI 1851477061

  Family Medicine

  NPD (past)
• Klickitat County Public Hospital District No1

  dba Klickitat Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Goldendale, WA
  • NPI 1093879975
  NPD (past)
• Public Hospital District 1 of Klickitat Co

  dba Klickitat Valley Health

  • Community/Retail Pharmacy
  • Goldendale, WA
  • NPI 1558828467
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1356414536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NE 99TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209437",
            "telephone_number": "503-215-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Goldendale",
            "state": "WA",
            "postal_code": "986209201",
            "country_code": "US",
            "telephone_number": "509-773-4022",
            "fax_number": "509-773-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN-ANH",
        "middle_name": "KHAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00043698",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD177479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8397234",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANH",
            "last_name": "NGUYEN",
            "middle_name": "K",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Kim Nguyen, MD
• Kimberlyy Nguyen, PHARMD
• Kristey Nguyen
• Lac Nguyen, MD
• Lan Nguyen
• Lap Huy Nguyen
• Lauren Thao-My Nguyen, MD
• Leah Janine Nguyen, PHARMD
• Lillian Nguyen, PHARM.D.
• Linda Nguyen

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.