Healthcare Provider Details
I. General information
NPI: 1629933031
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES NORTHWEST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15820 QUARRY RD
LAKE OSWEGO OR
97035-3336
US
IV. Provider business mailing address
15820 QUARRY RD
LAKE OSWEGO OR
97035-3336
US
V. Phone/Fax
- Phone: 503-961-8587
- Fax:
- Phone: 503-961-8587
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATHAN
ENOKI
Title or Position: OWNER CEO
Credential: MD FAAOS
Phone: 520-490-3253