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:
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Health care specialties

SpecialtyCodeLicense #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 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 1811981624 NPPES
Oregon Other 4046ATI OPTOMETRIC LICENSE

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