Individual
DR. NATHANAEL J MCKEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CSB 550, PORTLAND, OR 97239-3011
(503) 494-7317
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CSB 550, PORTLAND, OR 97239-3011
(503) 494-7317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO26615
OR
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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