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NPI 1306228853 · live from the CMS NPI Registry

Nicholas An, MD

Anesthesiology in Portland, OR. National Provider Identifier 1306228853, active.

NPI record

NPI1306228853 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239
Practice phone503-494-7641
Mailing address3181 Sw Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239
EnumeratedJune 22, 2015
Last updatedJuly 3, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000XA162035 (CA)
Anesthesiology primary207L00000XMD197425 (OR)

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