Individual
NATHANIEL DAVID MCCONKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO219076
OR
207R00000X
Internal Medicine Physician
OS019264
PA
207RC0000X
Cardiovascular Disease Physician
DO219076
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
DO219076
OR
208000000X
Pediatrics Physician
DO219076
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
03/13/2025
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