Individual
NATHANIEL NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 438-2229
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 438-2229
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
201605370RN
OR
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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