Wesam A Nasrallah, M.D,

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

FE175723 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Mail Code Op31
Portland, OR 97239-3011

Phone

(503) 494-6404

NPI assigned

Sep 5, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1790066751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE OP31",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE OP31",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRALLAH",
        "first_name": "WESAM",
        "middle_name": "A",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-05",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "FE175723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Nash, MPH, RD
• Sofia Amelia Nash, RN
• Maliheh Nasirzadeh Ashghani, DMD
• Brittany Naso, NP
• Jessica Nason
• Katie Rose Nass, QMHA
• Paulina Nassab, M.S.
• Nancy Frances Nasser-Marsh, MSW, LCSW
• Farooq Nasserziayee, D.M.D.
• Naima Hussein Nassir

• Orthopaedic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.