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NPI Code Detail

MEDICARE: DR. NAKEIMA E DORR DNP

MEDICARE: DR. NAKEIMA E DORR DNP
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
1163W00000XRegistered Nurse201706161RNOR
2363LF0000XFamily Nurse Practitioner0024172681VA
3363LF0000XFamily Nurse Practitioner201706892NP-PPOR

General Provider Information

NPI Number : 1215271887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAKEIMA E DORR DNP
Provider Business Mailing Address
First Line : PO BOX 1189
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-1189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 199 W HIGHWAY 20
Second Line :
City : TOLEDO
State : OR
Zip : 97391-1242
Country : US
Telephone Number : 541-574-2730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2012
Last Update Date : 05/16/2023

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