Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Hoa Tu Nguyen, PA-C

Individual provider Physician Assistant · NPI 1639814130

Nicole Hoa Tu Nguyen, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2022, 4 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
4
Licensed in
OR, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9330 NE Vancouver Mall Dr Ste 100
Vancouver, WA 98662-8209
Phone: (360) 729-8510
Fax: (360) 729-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Se Chkalov Dr Ste 170, Vancouver, WA 98683-5263 — (360) 787-4135

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61520201 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA218131 (OR)

Record details

NPI number1639814130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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