Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00036730 | WA |
N | 111NI0900X | Internist | MD00036730 | WA |
Y | 207RR0500X | Rheumatology | MD00036730 | WA |
N | 207RR0500X | Rheumatology | MD23744 | ME |
NPI | 1083607253 |
---|---|
Provider Name | James J Nakashima |
First Address | Longview, WA 98632-6226 |
Second Address | Longview, WA 98632-2367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 28/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110194827 | RR MEDICARE (01) | |
124241 | LABOR & IND. (01) | WA |
151283 | (05) | OR |
8232464 | (05) | WA |
8922563 | CRIME VICTIMS (01) | WA |
E39256 | (02) |