Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD199767 | OR |
N | 111NI0900X | Internist | MD199767 | OR |
N | 207R00000X | Internist | MT202660 | PA |
N | 111NI0900X | Internist | MT202660 | PA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD199767 | OR |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD199767 | OR |
NPI | 1710242615 |
---|---|
Provider Name | Nael Aldweib |
First Address | Portland, OR 97239-4501 |
Second Address | Portland, OR 97239-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2012 |
Last Update Date | 03/11/2020 |