Davis, Nina Sarah

Davis, Nina Sarah is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Kpv - 7C, Portland OR 97239-3011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Davis, Nina Sarah can be contacted via phone (503) 418-4562.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Kpv - 7C Portland OR 97239-3011
Phone: (503) 418-4562
Fax: (503) 418-4602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD22752 Oregon

Profile Details

NPI number 1780690271
LBN Legal business name Davis, Nina Sarah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 10th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780690271 NPPES
Oregon MEDICAID 287684

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