Individual
NATHANIEL ISAAC SUGIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
10000 SE MAIN ST STE 116, PORTLAND, OR 97216-2462
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
291150
MA
207L00000X
Anesthesiology Physician
Primary
MD216160
OR
Other
Enumeration date
04/12/2018
Last updated
02/06/2024
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