Individual
MR. NATHAN WILLIAM ENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
Mailing address
3530 SE 88TH AVE, PORTLAND, OR 97266-2396
(503) 772-4335
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2799
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500731842
—
OR
Enumeration date
03/20/2013
Last updated
12/29/2023
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