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Individual

DR. EDWARD NIGEL GUILLERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 N GRAHAM ST, SUITE 340, PORTLAND, OR 97227-1654
(503) 280-3620
(503) 282-2395
Mailing address
501 N GRAHAM ST, SUITE 340, PORTLAND, OR 97227-1654
(503) 280-3620
(503) 282-2395

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
MD00044900
WA
2080P0210X
Pediatric Nephrology Physician
Primary
MD25092
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275191
OR
Enumeration date
03/10/2006
Last updated
02/04/2022
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