NICHOLAS MICHAEL ABSALOM

LEGACY CLINICS LLC

Dr NICHOLAS MICHAEL ABSALOM is a male medical professional, specializing in Neurology. He graduated in 2007.

Contact

LEGACY CLINICS LLC

2801 N GANTENBEIN AVE
PORTLAND
OR
972271623

Tel: 5034132200

NICHOLAS MICHAEL ABSALOM Information

Npi 1770744112
Pac Id 5395900633
Professional Enrollment Id I20181212001252
Last Name ABSALOM
First Name NICHOLAS
Middle Name MICHAEL
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty NEUROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LEGACY CLINICS LLC
Group Practice Pac Id 0244144004
Number Of Group Practice Members 460
Line 1 Street Address 2801 N GANTENBEIN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PORTLAND
State OR
Zip Code 972271623
Phone Number 5034132200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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