Individual provider Active NPI

Yen Hai Nguyen, DO

  • Family Medicine Physician
  • West Linn, OR
National Provider Identifier
1497952360
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 152040 Issued in OR
Practice address
1750 Blankenship Rd Ste 300
West Linn, OR 97068-5100
Phone
(503) 210-4900
Fax
(503) 210-4998
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R1084 AZ
Family Medicine Physician 207Q00000X DO 152040 OR Primary

Addresses

Primary practice location

1750 Blankenship Rd Ste 300
West Linn, OR 97068-5100

Mailing address

1750 Blankenship Rd Ste 300
West Linn, OR 97068-5100
Phone (503) 210-4900

Other practice location 1

15950 SW Millikan Way
Beaverton, OR 97006-5170
Phone (503) 221-0161

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200813000757 OR Order and Referring Only - Family PracticePractitioner - Family Practice 8224220454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1084AZMDFamily Medicine Physician
DO 152040ORMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1497952360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 300",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685100",
            "telephone_number": "503-210-4900",
            "fax_number": "503-210-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD STE 300",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685100",
            "telephone_number": "503-210-4900",
            "fax_number": "503-210-4998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15950 SW Millikan Way",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970065170",
            "country_code": "US",
            "telephone_number": "503-221-0161",
            "fax_number": "503-526-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "YEN",
        "middle_name": "HAI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R1084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO 152040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.