Okon, Nicholas J
Okon, Nicholas J is an individual health care provider with primary practice located at 1410 Nw Kearney St #727, Portland OR 97209-2755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Okon, Nicholas J can be contacted via phone (206) 604-8142.Contact Information
Primary practice address
1410 Nw Kearney St #727
Portland OR 97209-2755
Phone: (206) 604-8142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | D01594 | Nevada |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO29152 | Oregon |
Profile Details
| NPI number | 1346200524 |
|---|---|
| LBN Legal business name | Okon, Nicholas J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Sep 26th, 2017 - about 9 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 | 1346200524 | NPPES |
| Nevada | MEDICAID | 1346200524 | |
| Nevada | MEDICAID | 500605951 |
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