KELLY KIM NGUYEN


Address: 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237
Phone: 5036752509

KELLY KIM NGUYEN (NPI# 1699242693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699242693
Entity Type Individual
Full Name KELLY KIM NGUYEN
Credential PHARMD
Practice Address 17779 Lower Boones Ferry Rd
Lake Oswego
OR 97035-5237
Practice Telephone 5036752509
Mailing Telephone 5036752509
Enumeration Date 2018-10-28
Last Update Date 2019-05-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist RPH-0016955 OR Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0016955 OR Pharmacy Service Providers

Other Providers KELLY NGUYEN

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1508407412 Kelly Nguyen Physical Therapist 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 2019-10-02
1982180493 Kelly Nguyen Dentist 17781 Santiago Blvd, Orange, CA 92861-4134 2018-07-17
1427457472 Kelly Nguyen Pharmacist 106 Lac Felicity Dr, Luling, LA 70070-4280 2014-08-15
1972787182 Kelly Nguyen Pharmacist 1206 Buchanan Dr, Santa Clara, CA 95051-3963 2007-12-24
1922608025 Kelly Trang Nguyen Pharmacist 440 Atlanta Hwy Nw, Winder, GA 30680-7826 2020-10-28
1801410543 Kelly Tram Anh Nguyen Dentist 5065 University Pkwy, Winston Salem, NC 27106-6083 2020-05-28
1528521408 Kelly Nguyen Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2019-04-09
1639634991 Kelly Nguyen Behavior Technician 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 2019-01-31
1023589587 Kelly Dam Nguyen Marriage & Family Therapist 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 2018-12-10
1235635418 Kelly Kim Nguyen Dentist 339 E Leland Rd, Pittsburg, CA 94565-4911 2018-04-05

Office Location

Street Address 17779 LOWER BOONES FERRY RD
City LAKE OSWEGO
State OR
Zip Code 97035-5237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144266917 Safeway Inc Durable Medical Equipment & Medical Supplies 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 2006-06-21
1487956231 Shah N Malik Pharmacist 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 2010-11-30
1003118233 Katherine Eva Blezinski Pharmacist 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 2010-11-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932700127 Teresa Siebenaler Scott Social Worker 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 2020-11-04
1528671567 Martin Henry Lees Internal Medicine 14 Morningview Lane, Lake Oswego, OR 97035 2020-08-28
1356976187 Premere Rehab LLC Occupational Therapist Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 2020-03-12
1689212193 Jennifer Chauvin Nurse Practitioner 20 Juarez Street, Lake Oswego, OR 97035 2019-12-16
1003396888 Sarah Guenzburger Physical Therapist 3900 Kruse Way Pl, Lake Oswego, OR 97035 2018-08-21
1568964252 Brett Johnson Marriage & Family Therapist 5655 Southwood Dr, Lake Oswego, OR 97035 2018-03-08
1912416561 Michael Paul Long Social Worker 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 2017-09-27
1467807859 Misty Lohn Nurse Practitioner 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 2016-05-04
1326405473 Kelsey Prince Behavioral Analyst 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 2016-01-20
1942683388 Elizabeth Risberg Harrison Massage Therapist 190 Oswego Summit, Lake Oswego, OR 97035 2015-07-02
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194385674 Joseph Lee Combee Pharmacist 4956 Sw Aster St, Corvallis, OR 97333-1367 2019-06-17
1538627377 Jacquelyn Jessica Lansing Pharmacist 33190 Bloomberg Rd, Eugene, OR 97405-9609 2019-03-12
1972097699 Nathan Daniel Hoover Pharmacist 1401 North 10th Ave, Stayton, OR 97383 2018-06-16
1083119994 Timothy Warren Evans Pharmacist 2714 Harbeck Rd, Grants Pass, OR 97527-5630 2018-03-24
1144737677 Matthew Ito Pharmacist 5805 Sw Delker Rd, Tualatin, OR 97062-7753 2018-01-05
1588178701 Daniel Hendrickson Pharmacist 503 Sw 5th Avenue, Portland, OR 97204 2017-11-27
1336662204 Jenny French Pharmacist 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 2017-07-21
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1841747649 Richard Bennett Pharmacist 425 Burlwood Ave N, Monmouth, OR 97361-2252 2016-09-09
1316390008 Timothy L Lichlyter Pharmacist 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 2016-07-18
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Competitor

Search similar providers

City LAKE OSWEGO
Zip Code 97035

Improve Information

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Dataset Information

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.

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