Dr. Nina Sofia Upham
Family Doctor - Sports Medicine
2525 Ne 139th St
Vancouver
, Washington 98686-2719
Dr. Nina Sofia Upham
Family Doctor - Sports Medicine
2525 Ne 139th St
Vancouver
, Washington 98686-2719
(360) 882-2778
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Nina Sofia Upham
- 700 Ne 87th Ave
- Vancouver, WA
- Zip : 98664-1913
- Phone : (360) 882-2778
Second Address
- Dr. Nina Sofia Upham
- 2525 Ne 139th St
- Vancouver, WA
- Zip : 98686-2719
- Phone : (360) 882-2778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 60278739 | WA |
National Provider Identifier
| NPI | 1043483043 |
|---|---|
| Provider Name | Dr. Nina Sofia Upham |
| First Address | Vancouver, WA 98664-1913 |
| Second Address | Vancouver, WA 98686-2719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2008 |
| Last Update Date | 22/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.