Individual
MYLES NELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1111 NE 99TH AVE STE 302, PORTLAND, OR 97220-9442
(503) 963-2707
Mailing address
1111 NE 99TH AVE STE 302, PORTLAND, OR 97220-9442
(503) 963-2707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
201707486RN
OR
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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