Individual
NATHAN A WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 97224-7259
(503) 216-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.60674666
WA
207Q00000X
Family Medicine Physician
Primary
MD176762
OR
Other
Enumeration date
09/09/2013
Last updated
02/16/2021
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