Individual
JOHN GORDON NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH & SCIENCE UNIVERSITY, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 494-9059
Mailing address
3181 SW SAM JACKLSON PARK ROAD, OREGON HEALTH & SCIENCE UNIVERSITY, DEPARTMENT OF NEURO, PORTLAND, OR 97239-1558
(503) 494-7228
(503) 494-9059
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD11584
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247452
—
OR
Enumeration date
10/09/2006
Last updated
09/08/2011
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