Active NPI
Hanh Ngoc Nguyen, M.D.
- Child & Adolescent Psychiatry Physician
- Portland, OR
National Provider Identifier
1700077328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD28167
- Practice address
- 5410 SW Macadam Ave Ste 200
Portland, OR 97239 - Phone
- (503) 501-8165
- Fax
- (503) 777-1821
- NPI assigned
- Aug 8, 2007
- Last updated
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD28167 | OR | Primary |
Addresses
Primary practice location
5410 SW Macadam Ave Ste 200
Portland, OR 97239
Mailing address
4207 SE Woodstock Blvd Ste 413
Portland, OR 97206-6267
Phone (503) 501-8165
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150317000656 | OR | Practitioner - Psychiatry | 5092032862 | Practice locations: Portland, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28167 | OR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1700077328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 SE WOODSTOCK BLVD STE 413",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066267",
"telephone_number": "503-501-8165",
"fax_number": "503-777-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 SW MACADAM AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-501-8165",
"fax_number": "503-777-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HANH",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD28167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.