Guillery, Edward Nigel

Guillery, Edward Nigel is an individual health care provider with primary practice located at 501 N Graham St Suite 340, Portland OR 97227-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Guillery, Edward Nigel can be contacted via phone (503) 280-3620.

Contact Information

Primary practice address
501 N Graham St Suite 340 Portland OR 97227-1654
Phone: (503) 280-3620
Fax: (503) 282-2395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD00044900 Washington
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD25092 Oregon

Profile Details

NPI number 1710955018
LBN Legal business name Guillery, Edward Nigel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Feb 4th, 2022 - about 3 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 1710955018 NPPES
Oregon MEDICAID 275191

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