Organization
JERRY E NYE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY E NYE MD (PRESIDENT)
(503) 274-4865
Entity
Organization
Contact information
Practice address
2311 NW NORTHRUP ST, SUITE 209, PORTLAND, OR 97210-2994
(503) 274-4865
(503) 274-4989
Mailing address
2311 NW NORTHRUP ST, SUITE 209, PORTLAND, OR 97210-2994
(503) 274-4865
(503) 274-4989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
01/06/2011
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