Individual
MR. STEVEN MASUICHI NAKANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2719
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227892
—
OR
01
—
5467820001
MEDICARE DME NUMBER
OR
Enumeration date
11/08/2005
Last updated
06/26/2024
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