Individual
JOHN M NIGHTINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
825 NW HIGHWAY 101 STE A, LINCOLN CITY, OR 97367-3241
(541) 994-7480
(541) 557-6439
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA156053
OR
Other
Enumeration date
10/14/2011
Last updated
11/04/2020
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