Irvine, David Nerseth

Irvine, David Nerseth is an individual health care provider with primary practice located at 1809 Maple St , Forest Grove OR 97116-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Irvine, David Nerseth can be contacted via phone (503) 357-2173.

Contact Information

Primary practice address
1809 Maple St Forest Grove OR 97116-1939
Phone: (503) 357-2173
Fax: (503) 357-2318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD15519 Oregon

Profile Details

NPI number 1366483109
LBN Legal business name Irvine, David Nerseth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 29th, 2008 - about 17 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 1366483109 NPPES
Washington Other 6751HU BSWA
Washington MEDICAID 8240871 BSWA
Washington Other 8946238 BSWA
Washington MEDICAID 059253 BSWA
Washington Other 0216865 BSWA

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