Individual
NANCY KATHRYN MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-9900
(503) 215-4055
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
(503) 215-9841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17902
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00251738
RR MEDICARE
OR
Enumeration date
07/04/2006
Last updated
09/30/2020
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