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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134133788 NPPES
Washington MEDICAID 1488808
Washington MEDICAID 075069
Washington Other 050050476

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