Individual
DAVID C NAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
12117 SW 18TH AVE, PORTLAND, OR 97219-7766
(971) 255-1001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216885
MA
207R00000X
Internal Medicine Physician
Primary
MD26621
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007088
—
MA
Enumeration date
03/09/2006
Last updated
07/08/2007
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