MEDICARE: NATHAN REH ENOKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	MD60184324	WA
2	207X00000X	Orthopaedic Surgery Physician	MD60184324	WA

General Provider Information

NPI Number	:	1699946715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN REH ENOKI MD

Provider Business Mailing Address
First Line	:	10121 SE SUNNYSIDE RD STE 235
Second Line	:
City	:	CLACKAMAS
State	:	OR
Zip	:	97015-5754
Country	:	US
Telephone Number	:	503-961-8587
Fax Number	:	503-305-7425

Provider Business Practice Location Address
First Line	:	10121 SE SUNNYSIDE RD STE 235
Second Line	:
City	:	CLACKAMAS
State	:	OR
Zip	:	97015-5754
Country	:	US
Telephone Number	:	503-961-8587
Fax Number	:	503-305-7425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	01/21/2026

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Directions to “ NATHAN REH ENOKI MD” Practice Location

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