Individual
DR. NICHOLAS AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # 2, PORTLAND, OR 97239-3098
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3098
(503) 494-7641
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A162035
CA
207L00000X
Anesthesiology Physician
Primary
MD197425
OR
Other
Enumeration date
06/22/2015
Last updated
07/03/2020
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