Roland, Nathaniel
Roland, Nathaniel is an individual health care provider with primary practice located at 1955 Nw Northrup St , Portland OR 97209-1614. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Roland, Nathaniel can be contacted via phone (503) 227-2020.Contact Information
Primary practice address
1955 Nw Northrup St
Portland OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4046ATI | Oregon |
Profile Details
| NPI number | 1811981624 |
|---|---|
| LBN Legal business name | Roland, Nathaniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Nov 15th, 2019 - about 5 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 | 1811981624 | NPPES |
| Oregon | Other | 4046ATI | OPTOMETRIC LICENSE |
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