Individual
NICHOLAS JAMES ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19250 SW 65TH AVE, TUALATIN, OR 97062-7452
(503) 413-7162
(503) 692-2101
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-059840
IL
207RC0000X
Cardiovascular Disease Physician
Primary
MD186847
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD186847
OR
Other
Enumeration date
04/21/2011
Last updated
02/02/2024
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