Active NPIIndividual provider

Nathan K Choquette, OD

Optometrist in Tigard, Oregon

NPI Number1215512629
Practice location
7421 SW Bridgeport RD Ste 200, Tigard, OR 97224-7707
Fax
503-598-7617
Last updated
March 17, 2021

Nathan Kenji Choquette is an Optometrist based in Tigard, OR. Nathan Kenji Choquette practices in Tigard, OR and has the professional credentials of OD. The NPI Number for Nathan Kenji Choquette is 1215512629 and holds a License No. ATI4564 (OR). The current practice location address for Nathan Kenji Choquette is 7421 SW Bridgeport RD Ste 200, Tigard, OR 97224-7707 and can be reached out via phone at 503-598-7616 and via fax at 503-598-7617.

Provider Profile Details

NPI Number
1215512629
Provider Name
Nathan Kenji Choquette
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
7421 SW Bridgeport RD Ste 200, Tigard, OR 97224-7707
Phone Number
503-598-7616
Fax Number
503-598-7617
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2021
Last Update Date
March 17, 2021
Certification Date
March 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
7421 SW Bridgeport RD Ste 200
Tigard, OR 97224-7707
City
Tigard
State
Oregon
Zip
97224-7707
Phone Number
503-598-7616
Fax Number
503-598-7617
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
1098 NE Romane Pl Apt 5101
Hillsboro, OR 97006-6072
City
Hillsboro
State
OR
Zip
97006-6072
Phone Number
808-927-4696

License Information

License Number
ATI4564
License State
OR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nathan K Choquette, OD?

The NPI number of Nathan K Choquette, OD is 1215512629. It was assigned on March 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Nathan K Choquette, OD?

Nathan K Choquette, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in OR under license number ATI4564.

Where does Nathan K Choquette, OD practice?

The practice location is 7421 SW Bridgeport RD Ste 200, Tigard, OR 97224-7707. The office can be reached at 503-598-7616 (phone) or 503-598-7617 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215512629 directly on the NPPES registry website.

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