Individual
MR. NICHOLAS BURNHAM KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 N GRAHAM ST., SUITE 200, PORTLAND, OR 97227
(503) 413-7162
(503) 413-4711
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201406454NP-PP
OR
Other
Enumeration date
01/05/2015
Last updated
02/01/2017
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