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Individual

NATHAN MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101019457
MI
2085R0202X
Diagnostic Radiology Physician
Primary
DO176358
OR
2085R0202X
Diagnostic Radiology Physician
DR.0058751
CO

Other

Enumeration date
07/07/2011
Last updated
12/15/2020
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