Individual
NANCY A SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3800 N INTERSTATE AVE, PORTLAND, OR 97227-1110
(503) 335-2440
Mailing address
6823 NE HANCOCK ST, PORTLAND, OR 97213-5343
(503) 335-6793
(503) 335-6645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00399
OR
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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