Jerry E Nye MD PC

NPI #1568764363 in Portland, Oregon

Provider Information

NPI Number: 1568764363
Entity Type: Organization
Organization Name: Jerry E Nye MD PC
Primary Specialty: Surgery
Enumeration Date: Nov 30, 2010
Last Updated: Jan 6, 2011

Practice Location

Address: 2311 NW NORTHRUP ST
Address 2: SUITE 209
City: Portland
State: Oregon
ZIP Code: 97210-2994
Phone: (503) 274-4865

Authorized Official

Name: DR. JERRY E NYE, MD
Title: PRESIDENT
Phone: (503) 274-4865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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