Individual
DR. NINA SARAH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, KPV - 7C, PORTLAND, OR 97239-3011
(503) 418-4562
(503) 418-4602
Mailing address
3710 SW US VETERANS HOSPITAL RD, P3-GU, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 220-3415
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD22752
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287684
—
OR
Enumeration date
08/01/2006
Last updated
08/10/2011
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