Nayak, Alice C

Nayak, Alice C is an individual health care provider with primary practice located at 9290 Se Sunnybrook Blvd Suite 120, Clackamas OR 97015-6899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nayak, Alice C can be contacted via phone (503) 215-2110.

Contact Information

Primary practice address
9290 Se Sunnybrook Blvd Suite 120 Clackamas OR 97015-6899
Fax: (503) 215-2115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26325 Oregon

Profile Details

NPI number 1013962513
LBN Legal business name Nayak, Alice C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 2nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013962513 NPPES
Oregon Other P00450876 RR MEDICARE
Oregon MEDICAID 028281 RR MEDICARE

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