NATHAN WADE FENNEWALD

PORTLAND, OR
NPI1386004521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA176237)
Enumeration Date2016-03-01
Last Update Date2016-03-01
Business Address
Mr. NATHAN WADE FENNEWALD PA-C
3181 SW SAM JACKSON PARK RD # OP31 ORTHOPEDICS & REHABILITATION DEPARTMENT
PORTLAND, OR 97239-3011
Phone number: 636-688-9260
Mailing Address
Mr. NATHAN WADE FENNEWALD PA-C
3181 SW SAM JACKSON PARK RD # OP31 ORTHOPEDICS & REHABILITATION DEPARTMENT
PORTLAND, OR 97239-3011
Phone number: 636-688-9260
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