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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 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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