Individual
NICHOLAS EGLITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
194300
OR
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
194300
OR
Other
Enumeration date
04/10/2014
Last updated
10/27/2020
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