Mrs Kendra Elise Nguyen, MD | |
1500 Division St, Suite 280, Oregon City, OR 97045-1527 | |
(503) 905-3400 | |
(503) 905-3399 |
Full Name | Mrs Kendra Elise Nguyen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1500 Division St, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184959629 | NPI | - | NPPES |
070222 | Medicaid | OR | |
500621605 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD150844 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kendra Elise Nguyen, MD 4938 Sw 1st Ave, Portland, OR 97239-2883 Ph: (503) 730-5556 | Mrs Kendra Elise Nguyen, MD 1500 Division St, Suite 280, Oregon City, OR 97045-1527 Ph: (503) 905-3400 |
Joanne Hay-ling Wong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Division St, Suite 280, Oregon City, OR 97045 Phone: 503-418-5000 Fax: 503-418-5007 | |
Timothy Jay Jeffreys, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St Ste 280, Oregon City, OR 97045 Phone: 503-905-3400 | |
Kristine Uyesugi Bugakov, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14279 S Glen Oaks Rd, Oregon City, OR 97045 Phone: 503-657-7629 Fax: 503-557-8651 | |
Christine Guenzi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Willamette Falls Pediatric Group 1510 Division St, Suite 280, Oregon City, OR 97045 Phone: 503-905-3400 Fax: 503-905-3399 | |
Jo Anne Nielsen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14279 Glen Oak Rd, Oregon City, OR 97045 Phone: 503-657-7629 Fax: 503-557-8651 | |
Christina Marie Grucella, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St Ste 280, Oregon City, OR 97045 Phone: 503-905-3400 |