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NPI 1124319330 · live from the CMS NPI Registry

Nicholas James Abbott, M.D.

Internal Medicine, Cardiovascular Disease in Tualatin, OR. National Provider Identifier 1124319330, active.

NPI record

NPI1124319330 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location19250 Sw 65th Ave, Tualatin, OR 97062
Practice phone503-413-7162
Mailing addressPo Box 3777, Portland, OR 97208
EnumeratedApril 21, 2011
Last updatedFebruary 2, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X125-059840 (IL)
Internal Medicine, Clinical Cardiac Electrophysiology207RC0001XMD186847 (OR)
Internal Medicine, Cardiovascular Disease primary207RC0000XMD186847 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.