Individual
MICHAEL NANASZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 399-1386
(503) 399-1182
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
72595
AZ
207T00000X
Neurological Surgery Physician
Primary
MD189733
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72595
AZ TRAINING PERMIT
AZ
Enumeration date
06/21/2011
Last updated
02/17/2026
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