DR. EDWARD NIGEL GUILLERY M.D. NPI 1710955018

NPI Information

NPI: 1710955018
Provider Name: DR. EDWARD NIGEL GUILLERY, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Address:
501 N GRAHAM ST
SUITE 340
PORTLAND, OR
ZIP 97227
Phone: (503) 280-3620
Get Directions

DR. Edward Nigel Guillery, M.D. is a pediatric nephrology pediatrics in Portland, OR. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Edward Nigel Guillery, M.D. NPI is 1710955018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N GRAHAM ST
SUITE 340
PORTLAND, OR
ZIP 97227-654
Phone: (503) 280-3620
Fax: (503) 282-2395

The enumeration date for this NPI number is 3/10/2006 and was last updated on 2/4/2022.

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
1	2080P0210X	Pediatrics	Pediatric Nephrology	MD00044900	WASHINGTON	No
2	2080P0210X	Pediatrics	Pediatric Nephrology	MD25092	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	275191	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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