NATHANIEL DAVID MCCONKEY DO NPI 1538586607

NPI Information

  • NPI: 1538586607
  • Provider Name: NATHANIEL DAVID MCCONKEY, DO
  • Classification: Internal Medicine - 207RC0001X
  • Specialization: Clinical Cardiac Electrophysiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3303 S BOND AVE
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-1775

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NPI Details

Nathaniel David Mcconkey, DO is a clinical cardiac electrophysiology internal medicine in Portland, OR with 12 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Nathaniel David Mcconkey, DO NPI is 1538586607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2014

The provider's business location address is:

3303 S BOND AVE
PORTLAND, OR
ZIP 97239-501
Phone: (503) 494-1775
Fax: (503) 494-4749

The NPI 1538586607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineDO219076OREGONNo
2207R00000XInternal MedicineOS019264PENNSYLVANIANo
3207RC0000XInternal MedicineCardiovascular DiseaseDO219076OREGONNo
4208000000XPediatricsDO219076OREGONNo
5390200000XStudent in an Organized Health Care Education/Training ProgramNo
6207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyDO219076OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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