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Individual

ALVIN K NAKAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST, SUITE 248, PORTLAND, OR 97216-2448
(503) 257-7757
(503) 257-6703
Mailing address
10000 SE MAIN ST, SUITE 248, PORTLAND, OR 97216-2448
(503) 257-7757
(503) 257-6703

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17656
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044995
OR
01
R00WFBCLC
PTAN
OR
Enumeration date
03/31/2006
Last updated
05/09/2016
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