Individual
KELLIE J NAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, CDRC-P, PORTLAND, OR 97239-3011
(503) 494-1543
(503) 494-0714
Mailing address
3181 SW SAM JACKSON PARK RD, CDRC-P, PORTLAND, OR 97239-3011
(503) 494-1543
(503) 494-0714
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
216852
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD26752
OR
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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