Individual
NAOMI SUDA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3015 SQUALICUM PKWY STE 100, BELLINGHAM, WA 98225-1906
(360) 715-4186
(360) 715-4187
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 60484278
WA
207R00000X
Internal Medicine Physician
MD60484278
WA
207R00000X
Internal Medicine Physician
ML 60286843
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD175883
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD60484278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
05
—
096511
—
OR
Enumeration date
03/21/2012
Last updated
06/20/2024
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