NPI 1336983618 · live from the CMS NPI Registry
Nathan Cazmersen, OD
Optometrist in Portland, OR. National Provider Identifier 1336983618, active.
NPI record
| NPI | 1336983618 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 |
| Practice phone | 503-220-8262 |
| Mailing address | 1384 Nw Murphy Ln, Albany, OR 97321 |
| Enumerated | June 21, 2024 |
| Last updated | June 21, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | ATI4742 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.