Individual
DAVID NERSETH IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1809 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2173
(503) 357-2318
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0216865
LIWA
WA
05
—
059253
—
OR
01
—
6751HU
BSWA
WA
05
—
8240871
—
WA
01
—
8946238
VCR
WA
Enumeration date
06/10/2006
Last updated
02/29/2008
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