Provider Demographics
NPI:1740280429
Name:HOQUE, NAZMUL (MD)
Entity type:Individual
Prefix:
First Name:NAZMUL
Middle Name:
Last Name:HOQUE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 NE NORTON LN
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-8484
Mailing Address - Country:US
Mailing Address - Phone:503-472-9002
Mailing Address - Fax:
Practice Address - Street 1:407 N COAST HWY STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3117
Practice Address - Country:US
Practice Address - Phone:541-265-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22427207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR287938Medicaid
OR115454Medicare ID - Type Unspecified
OR287938Medicaid