Individual
GARY MERLIN NESBIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7660
Mailing address
5037 FOOTHILLS RD APT A, LAKE OSWEGO, OR 97034-3214
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD18713
OR
2085R0202X
Diagnostic Radiology Physician
MD18713
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067087
—
OR
Enumeration date
07/31/2006
Last updated
04/06/2022
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