Healthcare Provider Details

I. General information

NPI: 1982517017
Provider Name (Legal Business Name): GREGORY NATHAN HOWARD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 SW US VETERANS HOSPITAL RD
PORTLAND OR
97239-2999
US

IV. Provider business mailing address

6 THE GROTTO
LAKE OSWEGO OR
97035-1922
US

V. Phone/Fax

Practice location:
  • Phone: 503-220-8262
  • Fax:
Mailing address:
  • Phone: 503-329-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number10062582
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: