Nicholas James Abbott, M.D.
Internal Medicine, Cardiovascular Disease in Tualatin, OR. Individual provider (NPI-1).
NPI number1124319330
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1124319330
- Entity type
- Individual (NPI-1)
- Name
- Nicholas James Abbott
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2011
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD186847 | OR | Yes |
| 207R00000X | Internal Medicine | 125-059840 | IL | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | MD186847 | OR |
Practice location
19250 Sw 65th AveTualatin, OR 97062-7452
Phone 503-413-7162 · Fax 503-692-2101
Mailing address
Po Box 3777Portland, OR 97208-3777
Phone 503-413-3900 · Fax 503-413-3710
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