SUPHAPHON WENDY PHANTHADETH-AGUINALDO RN
NPI 1841768363
Registered Nurse in Portland, OR

Active since November 02, 2018
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211(503) 988-5558 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Suphaphon Wendy Phanthadeth-aguinaldo Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPHAPHON WENDY PHANTHADETH-AGUINALDO RN (NPI 1841768363) is an individual registered nurse in Portland, Oregon, licensed in Oregon (201807517RN) and active in the NPI registry since November 2018. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1841768363
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSUPHAPHON WENDY PHANTHADETH-AGUINALDOCredential: RN
Location Address5329 NE MARTIN LUTHER KING JR BLVDPortland, OR 97211-3237
Mailing Address15827 Se Basalt CtDamascus, OR 97089-8299 · (503) 380-5811
Sole ProprietorNo
Enumeration DateNovember 2, 2018
NPI 1841768363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in OR · 201807517RN
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
5329 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211

Secondary Practice Location 1

Location 13710 SW US Veterans Hospital RdPortland, OR 97239-2964 · Phone (503) 220-8262

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Nurse Practitioner (Primary Care)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Peer Specialist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Pharmacist
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Clinic/Center (Primary Care)
5329 NE MARTIN LUTHER KING JR BLVD, 2ND FLOOR
PORTLAND, OR 97211
Pharmacist (Ambulatory Care)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Psychiatry & Neurology (Neurology)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211
Physician Assistant (Medical)
5329 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suphaphon Phanthadeth-aguinaldo's NPI number?

The NPI number for Suphaphon Phanthadeth-aguinaldo is 1841768363. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Suphaphon Phanthadeth-aguinaldo located?

Suphaphon Phanthadeth-aguinaldo practices at 5329 NE Martin Luther King Jr Blvd, Portland, OR 97211. The listed phone number is (503) 988-5558.

What is Suphaphon Phanthadeth-aguinaldo's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Suphaphon Phanthadeth-aguinaldo was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.