Individual
KEN A. NAKANOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU MAIN HOSPITAL (11TH FLOOR), PORTLAND, OR 97239-3011
(503) 418-6725
(503) 346-8051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD222332
OR
2085R0204X
Vascular & Interventional Radiology Physician
12229859-1205
UT
Other
Enumeration date
06/23/2017
Last updated
10/17/2024
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