Individual
JUDITH A NIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 NW NAITO PKWY, STE. 200, PORTLAND, OR 97209-2830
(503) 943-2340
(503) 248-4733
Mailing address
24900 SE STARK ST, STE. 103, GRESHAM, OR 97030-3355
(503) 907-1101
(503) 907-0177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO25918
OR
207RC0000X
Cardiovascular Disease Physician
Primary
DO25918
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240379
—
OR
Enumeration date
10/24/2006
Last updated
07/27/2022
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