Mark David Nichols in Portland - Obstetrics & Gynecology
Mark David Nichols - NPI 1265440739
Mark David Nichols is a Obstetrics & Gynecology in Portland, Oregon. Mark David Nichols practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Mark David Nichols is 1265440739. The last update date is 2007-07-13.
Mark David Nichols's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034184500. The mailing address for Mark David Nichols is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Nichols |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034184500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265440739 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034184500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | MD12638 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279216 | OR | -- |
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What is the unique identifier code issued to Mark David Nichols by the Centers for Medicare & Medicaid Services?
The Mark David Nichols has been assigned the NPI (National Provider Identifier) 1265440739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark David Nichols?
The Mark David Nichols is situated at 3181 Sw Sam Jackson Park Rd, in the city of Portland, state of OR, with the zip code 972393011.
What is the Mark David Nichols's specialty and taxonomy code?
The Mark David Nichols's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date was the 1265440739 assigned to Mark David Nichols?
The Mark David Nichols was issued its 1265440739 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark David Nichols's information last updated?
The Mark David Nichols's information was last updated on 2007-07-13.