Individual
NASH WILLIAM KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
2480 LIBERTY ST NE, SUITE 180, SALEM, OR 97301-8380
(503) 371-1010
Mailing address
2480 LIBERTY ST NE, SALEM, OR 97301-8380
(503) 371-1010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA174358
OR
Other
Enumeration date
09/16/2014
Last updated
10/13/2021
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