Organization
NANCY KAHANER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY R KAHANER DO (CEO)
(503) 233-6622
Entity
Organization
Contact information
Practice address
5415 SE MILWAUKIE AVE, STE 1, PORTLAND, OR 97202-4940
(503) 233-6622
(503) 233-9988
Mailing address
5415 SE MILWAUKIE AVE, STE 1, PORTLAND, OR 97202-4940
(503) 233-6622
(503) 233-9988
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DO 15080
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162255
OMAP
OR
01
—
R102408
MEDICARE #
OR
Enumeration date
08/05/2010
Last updated
08/05/2010
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