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Individual

DR. NATHAN K. BODDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.S.

Contact information

Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(253) 844-4327
Mailing address
917 PACIFIC AVE STE 600, TACOMA, WA 98402-4437
(253) 844-4327

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 60018386
WA
207R00000X
Internal Medicine Physician
Primary
MD28592
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500600848
OR
Enumeration date
05/27/2008
Last updated
08/06/2025
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