Individual
NATHAN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 S 7TH ST APT B, LEBANON, OR 97355-1174
(720) 563-9481
Mailing address
2020 S 7TH ST APT B, LEBANON, OR 97355-1174
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
95922
GA
390200000X
Student in an Organized Health Care Education/Training Program
043070729
CO
Other
Enumeration date
04/16/2016
Last updated
07/13/2023
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