Nyonator, Edem

Nyonator, Edem is an individual health care provider with primary practice located at 10123 Se Market St , Portland OR 97216-2532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Nyonator, Edem can be contacted via phone (503) 257-2500.

Contact Information

Primary practice address
10123 Se Market St Portland OR 97216-2532
Phone: (503) 257-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26162 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD26162 Oregon

Profile Details

NPI number 1558322909
LBN Legal business name Nyonator, Edem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Mar 17th, 2018 - about 6 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 1558322909 NPPES
Oregon Other 858464008 BCBS-SPRINGFIELD
Oregon Other 858463010 BCBS-SPRINGFIELD
Oregon Other P00276736 BCBS-SPRINGFIELD
Oregon MEDICAID 026826 BCBS-SPRINGFIELD
Oregon Other 838334011 BCBS-SPRINGFIELD

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