Motamedi, Nima
Motamedi, Nima is an sole proprietor health care provider with primary practice located at 19250 Sw 90Th Ave , Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Motamedi, Nima can be contacted via phone (503) 692-3750.Contact Information
Primary practice address
19250 Sw 90Th Ave
Tualatin OR 97062
Phone: (503) 692-3750
Fax: (503) 691-2324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD186001 | Oregon |
Profile Details
| NPI number | 1639440381 |
|---|---|
| LBN Legal business name | Motamedi, Nima |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2012 |
| Last updated | Dec 1st, 2021 - about 4 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 | 1639440381 | NPPES |
| Oregon | MEDICAID | 500745966 | |
| Oregon | MEDICAID | 2098787 |
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