Provider Demographics
NPI:1871610170
Name:NAGER, WILLIAM D (ND)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:NAGER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 SE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-4771
Mailing Address - Country:US
Mailing Address - Phone:503-236-1304
Mailing Address - Fax:503-236-3182
Practice Address - Street 1:1611 SE 11TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-4771
Practice Address - Country:US
Practice Address - Phone:503-236-1304
Practice Address - Fax:503-236-3182
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0624175F00000X
CT000162175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4404597OtherUNITED HEALTH CARE
CTOV6132OtherACS HEALTH
CT000162OtherCONNECTICARE
CT061535004OtherGOLDEN RULE
CT934452OtherACS HEALTH
CT934452OtherHEALTH NET
CTOV6132OtherHEALTH NET
CT1100001620CT02OtherBLUE CROSS