Individual
NIMA MOTAMEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19250 SW 90TH AVE, TUALATIN, OR 97062
(503) 692-3750
(503) 691-2324
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD186001
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098787
—
WA
05
—
500745966
—
OR
Enumeration date
01/25/2012
Last updated
12/01/2021
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