Individual
DR. WILLOW NICOLE NAIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
Mailing address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD150365
OR
2084P0802X
Addiction Psychiatry Physician
MD150365
OR
Other
Enumeration date
06/19/2007
Last updated
01/14/2025
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