Individual
DR. KENNETH MASAHIRO NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10123 SE MARKET ST, DEPT. OF RADIATION ONCOLOGY, PORTLAND, OR 97216-2532
(503) 251-6305
(503) 251-6802
Mailing address
PO BOX 3987, PORTLAND, OR 97208-3987
(503) 356-9166
(503) 771-7221
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD14761
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264648
—
OR
Enumeration date
12/14/2006
Last updated
10/29/2007
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