Individual
ANDREA KAY NAGENGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD187400
OR
208600000X
Surgery Physician
MD187400
OR
2086S0102X
Surgical Critical Care Physician
MD187400
OR
2086S0127X
Trauma Surgery Physician
Primary
MD187400
OR
Other
Enumeration date
03/28/2013
Last updated
07/16/2025
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