Khanh-Uyen Tina Huu Nguyen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA189616 Issued in OR

Practice address

1825 Maple St
Forest Grove, OR 97116-1939

Phone

(503) 359-6180

Fax

(503) 359-6105

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians

Express Care Or PCGroup PAC ID 1254768732, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.78 of 100Reported as group

Quality

92.1

Improvement activities

40

Cost

80.43

Merit-based Incentive Payment System (MIPS)

Final score

89.49 of 100Reported as group

Quality

86.28

Promoting interoperability

100

Improvement activities

40

Cost

78.7

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: knguyen2737287@oc.providencedirect.org

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

• Express Care Or PC

  • General Practice Physician
  • Portland, OR
  • NPI 1205499126
  Medicare reassignment Care Compare group
• Express Care Wa PC

  • General Practice Physician
  • Lacey, WA
  • NPI 1821554452

  OR

  Medicare reassignment Care Compare group
• Grace Clinic of Lubbock

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1912953357
  Medicare reassignment NPD
• Grace Clinic of Lubbock

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1770237042
  NPD
• Providence Health & Services - Washington

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Hoquiam, WA
  • NPI 1043374119
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1396397261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MAPLE ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161939",
            "telephone_number": "503-359-6180",
            "fax_number": "503-359-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAPLE ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161939",
            "telephone_number": "503-359-6180",
            "fax_number": "503-359-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072520",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANH-UYEN TINA",
        "middle_name": "HUU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA19500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA189616",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60963344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonam Narayan, OD, MS
• Carly Lynn Negrila, PT
• Gregory Alan Nemchick, DMD
• Sarah New, MPT
• CHI Nguyen
• Northwest Pain Institute
• Caitlin Odonnell
• Joseph Oelfke, PT, DPT
• Jennifer Olds, RN / BSN, MBA,
• Amanda Michelle Olsen

• Physician Assistant in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.