Nakayama, Clyde H
Nakayama, Clyde H is an individual health care provider with primary practice located at 4170 Orchard Way , Lake Oswego OR 97035-1875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nakayama, Clyde H can be contacted via phone (503) 636-1497.Contact Information
Primary practice address
4170 Orchard Way
Lake Oswego OR 97035-1875
Phone: (503) 636-1497
Fax: (503) 636-1497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD10953 | Oregon |
Profile Details
| NPI number | 1134133788 |
|---|---|
| LBN Legal business name | Nakayama, Clyde H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Mar 23rd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134133788 | NPPES |
| Washington | MEDICAID | 1488808 | |
| Washington | MEDICAID | 075069 | |
| Washington | Other | 050050476 |
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