Individual
RON NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
(503) 546-6377
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-CRM-5315
OR
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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