Nitta, Kenneth Masahiro

Nitta, Kenneth Masahiro is an individual health care provider with primary practice located at 10123 Se Market St Dept. Of Radiation Oncology, Portland OR 97216-2532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Nitta, Kenneth Masahiro can be contacted via phone (503) 251-6305.

Contact Information

Primary practice address
10123 Se Market St Dept. Of Radiation Oncology Portland OR 97216-2532
Phone: (503) 251-6305
Fax: (503) 251-6802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD14761 Oregon

Profile Details

NPI number 1942362413
LBN Legal business name Nitta, Kenneth Masahiro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Oct 29th, 2007 - about 19 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 1942362413 NPPES
Oregon MEDICAID 264648

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