| Cindy Kim Nguyen, PA | |
|
505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 | |
| (360) 514-7374 | |
| (360) 514-7384 |
| Full Name | Cindy Kim Nguyen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 505 Ne 87th Ave Ste 301, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821783572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA215967 (Oregon) | Primary |
| 363A00000X | Physician Assistant | 70045370 (Washington) | Secondary |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Kim Nguyen, PA 450 N Graham St, Portland, OR 97227-1682 Ph: (503) 413-4488 | Cindy Kim Nguyen, PA 505 Ne 87th Ave Ste 301, Vancouver, WA 98664-1965 Ph: (360) 514-7374 |
Breanne Cannon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 |
Jonathan Riggs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 220, Vancouver, WA 98686 Phone: 360-882-2778 |
Kendra Bray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 Fax: 360-735-3400 |
Laura E Brandt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664 Phone: 360-254-5267 |
Susan Arnold-edgar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-3128 |
Holly Brock, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Ne 136th Ave Ste 201, Vancouver, WA 98684 Phone: 360-258-1787 |
Joseph D Mathias, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1697 |