Organization
DR.NITI'S NATURALWAYS PEDIATRICS
Active
Other names
Naturalways Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITIKUL SOLOMON M.D. (PRESIDENT)
(503) 224-1224
Entity
Organization
Contact information
Practice address
1815 NW FLANDERS ST, SUITE 104, PORTLAND, OR 97209-2060
(503) 224-1224
(503) 224-1353
Mailing address
1815 NW FLANDERS ST STE 104, PORTLAND, OR 97209-2060
(503) 224-1224
(503) 224-1353
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1389865-0
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025923
—
OR
01
—
1508833047
NPI (INDIVIDUAL PRACTITIONER)
—
Enumeration date
07/02/2010
Last updated
07/02/2010
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