Dr. Willow Nicole Naimark, MD
Psychiatry & Neurology, Psychiatry in Portland, OR. Individual provider (NPI-1).
NPI number1457556367
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1457556367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Willow Nicole Naimark
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2007
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | MD150365 | OR | Yes |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | MD150365 | OR |
Practice location
2400 Sw Vermont StPortland, OR 97219-1940
Phone 503-452-0915
Mailing address
2400 Sw Vermont StPortland, OR 97219-1940
Phone 503-452-0915
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