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Contact Information

NINA S UPHAM, MD
2525 NE 139TH ST
VANCOUVER, WA98686-2719
 Phone: 360-882-2778
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NINA S UPHAM · (Female)

NPI # 1043483043
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2008
Last updated 01/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 60278739
  • WA License # MD60278739
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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