Provider Demographics
NPI:1477973386
Name:ESMONDE, NICK OREM I (MD, MPH)
Entity Type:Individual
Prefix:
First Name:NICK
Middle Name:OREM
Last Name:ESMONDE
Suffix:I
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:L579
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-8652
Mailing Address - Fax:503-494-8513
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:L579
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-8652
Practice Address - Fax:503-494-8513
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD198692208200000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program