Nir Modiano MD, PHD

NPI 1073790788 - Internal Medicine - 207R00000X

NPI Details
NPI 1073790788
Gender Male
Enumeration Date 01/24/2008
Last Updated 12/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3303 SW BOND AVENUE,
MAILCODE CH6D OHSU - DIGESTIVE HEALTH CENTER
PORTLAND OR, 97239, US
Phone (503) 494-4373
Fax
Business Location
3181 SW SAM JACKSON PARK ROAD
OHSU MAILCODE #L-461
PORTLAND OR, 97239-3098, US
Phone (503) 494-4373
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A96835
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According to our database, Dr. Nir Modiano MD, PHD NPI is 1073790788, taxonomy code is 207R00000X and license number is A96835, license state is located at California. Nir Modiano MD, PHD physically located at 3303 Sw Bond Avenue,, Portland OR, 97239. NPI Number Nir Modiano MD, PHD has the Individual type.

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1073790788 NPI number is provided on an as is basis without warranty of any kind. 1073790788 is maintained by the National Plan & Provider Enumeration System. The contents of Nir Modiano MD, PHD are for informational purposes only.