Nutt, John Gordon
Nutt, John Gordon is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Oregon Health & Science University, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nutt, John Gordon can be contacted via phone (503) 494-7772.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Oregon Health & Science University
Portland OR 97239-3011
Phone: (503) 494-7772
Fax: (503) 494-9059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD11584 | Oregon |
Profile Details
| NPI number | 1871680827 |
|---|---|
| LBN Legal business name | Nutt, John Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Sep 8th, 2011 - about 14 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 | 1871680827 | NPPES |
| Oregon | MEDICAID | 247452 |
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