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Individual

HENRY E NINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
454 WELCH ST, SILVERTON, OR 97381-1934
(503) 873-1722
(503) 874-2452
Mailing address
454 WELCH ST, SILVERTON, OR 97381-1934
(503) 873-1722
(503) 874-2452

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD26624
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213201
OR
Enumeration date
06/01/2006
Last updated
07/02/2008
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