Individual
NATHAN OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2712
ME
363AS0400X
Surgical Physician Assistant
Primary
PA2712
ME
Other
Enumeration date
10/09/2017
Last updated
02/25/2026
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