Bastola, Nirmal
Bastola, Nirmal is an individual health care provider with primary practice located at 5900 Inland Shores Way N , Keizer OR 97303-3883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bastola, Nirmal can be contacted via phone (503) 399-2424.Contact Information
Primary practice address
5900 Inland Shores Way N
Keizer OR 97303-3883
Phone: (503) 399-2424
Fax: (503) 589-6240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6135 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD181082 | Oregon |
Profile Details
| NPI number | 1730310830 |
|---|---|
| LBN Legal business name | Bastola, Nirmal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Jun 7th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730310830 | NPPES |
| Oregon | MEDICAID | 500721109 |
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