Dr. Eugene Pendleton Nicholson Iv
M.D. | Pediatrics | Male
Dr. Eugene Pendleton Nicholson Iv, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Eugene Pendleton Nicholson Iv is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3011. He can be contacted on phone at
503-494-8311.
Dr. Eugene Pendleton Nicholson Iv is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Eugene Pendleton Nicholson Iv is
1710197991 which was assigned by NPPES on 23 May, 2007 and it was last updated on 05 Dec, 2008.
Dr. Eugene Pendleton Nicholson Iv license number is
AE33090453635 for Pediatrics (208000000X) in Oregon.
Dr. Eugene Pendleton Nicholson Iv is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Eugene Pendleton Nicholson Iv basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Eugene Pendleton Nicholson Iv |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Eugene Pendleton Nicholson Iv address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-494-8311 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1710197991 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 May, 2007 |
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| Last Updated On : | 05 Dec, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eugene Pendleton Nicholson Iv are as mentioned. Primary taxonomy code for Dr. Eugene Pendleton Nicholson Iv, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | AE33090453635 | OR |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 707 Sw Gaines St, Cdrc-p
Portland, OR, 97239-2901
United States |
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| Phone Number : | 503-418-5263 |
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Business Location:
Patients can refer following map for directions to
Dr. Eugene Pendleton Nicholson Iv practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.