Individual
NUTCHA PINJAROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 887-3371
Mailing address
0650 SW GAINES ST APT 2117, PORTLAND, OR 97239-4460
(503) 887-3371
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
86345
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86345
MEDICAL LICENSE: LIMITED POSTGRADUATE LICENSE
OR
Enumeration date
04/20/2011
Last updated
04/20/2011
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