Individual
NATHAN F.E. ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1805 E 19TH ST, THE DALLES, OR 97058-3365
(541) 296-2201
(541) 296-1237
Mailing address
PO BOX 1520, 1805 E. 19TH ST, THE DALLES, OR 97058-8003
(541) 296-2201
(541) 296-1237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00044697
WA
208800000X
Urology Physician
Primary
MD154094
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518067339
—
OR
Enumeration date
09/22/2006
Last updated
10/13/2021
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