CHARLES SOM NGUYEN (NPI# 1104367408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104367408 |
| Entity Type | Individual |
| Full Name | CHARLES SOM NGUYEN |
| Practice Address |
200 Mullins Dr. Western University Comp-nw Lebanon OR 97355 |
| Practice Telephone | 5412590200 |
| Mailing Telephone | 5412590200 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619104940 | Charles Nguyen | Dentist | 2750 Holly Hall St Apt 910, Houston, TX 77054-4150 | 2009-06-13 |
| 1972716942 | Charles Edward Nguyen | Chiropractor | 210 N Bonita Ave, Oxnard, CA 93030-3669 | 2007-05-07 |
| 1407079791 | Charles Phong Nguyen | Chiropractor | 2390 Morgan Ave, Bronx, NY 10469-5720 | 2007-04-11 |
| 1477188696 | Charles Nguyen | Student in an Organized Health Care Education/Training Program | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-03-09 |
| 1902303431 | Charles B. Nguyen | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, Bcm 903, Suite A10.202, Houston, TX 77030 | 2018-04-11 |
| 1538400288 | Charles Nguyen | Internal Medicine | 1000 W Carson St, Torrance, CA 90502-2004 | 2013-03-05 |
| 1528372398 | Charles Minh Nguyen | Internal Medicine | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2010-08-03 |
| 1104155720 | Charles Phuc Nguyen | Pharmacist | 5280 Buffalo Speedway, Houston, TX 77005-4204 | 2009-12-10 |
| 1679704084 | Charles L. Nguyen | Internal Medicine | 8307 Knight Rd, Houston, TX 77054-3905 | 2009-08-03 |
| 1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
| Street Address |
200 MULLINS DR. WESTERN UNIVERSITY COMP-NW |
| City | LEBANON |
| State | OR |
| Zip Code | 97355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| Find all providers in zip 97355 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810254 | Sarah Brice West | Student in an Organized Health Care Education/Training Program | 34376 Bond Rd, Lebanon, OR 97355-9480 | 2020-08-03 |
| 1659990927 | Allison Marie Lane | Student in an Organized Health Care Education/Training Program | 921 Lebanon Hwy, Lebanon, TN 37087-9231 | 2020-04-15 |
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1821559386 | Anna Olds | Student in an Organized Health Care Education/Training Program | 97 Dreahook Rd, Lebanon, NJ 08833-5014 | 2019-03-27 |
| 1508324310 | Michael Joseph Hynds | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr Unit H2063, Lebanon, OR 97355-3983 | 2019-03-11 |
| 1215495296 | Stephen Klippenstein | Student in an Organized Health Care Education/Training Program | 53 E Sherman St Apt 2, Lebanon, OR 97355-3254 | 2019-03-07 |
| 1184182404 | Kathleen Y Jarman | Student in an Organized Health Care Education/Training Program | 178 E Jadon Dr, Lebanon, OR 97355-1696 | 2019-03-05 |
| 1548728025 | Conor Hegewald | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt E219, Lebanon, OR 97355-2883 | 2019-03-04 |
| 1003374588 | Nicole Kosmider | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt I334, Lebanon, OR 97355-2884 | 2019-03-04 |
| 1457815698 | Cassie Kennedy | Student in an Organized Health Care Education/Training Program | 200 Peace Ave, Lebanon, TN 37087-8626 | 2019-01-22 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on CHARLES SOM NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.