Individual
NATHAN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4784 SE 17TH AVE, PORTLAND, OR 97202-4307
(844) 504-0402
Mailing address
4784 SE 17TH AVE, PORTLAND, OR 97202-4307
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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