Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OP60314074 | WA |
N | 111NI0900X | Internist | OP60314074 | WA |
N | 207RH0002X | Hospice and Palliative Medicine | 34009173 | OH |
N | 207RH0002X | Hospice and Palliative Medicine | OP60314074 | WA |
N | 2081P2900X | Pain Medicine | OP60314074 | WA |
NPI | 1386850972 |
---|---|
Provider Name | Shorin Nemeth |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97213-2236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1386850972 | (05) | WA |
500688466 | (05) | OR |