Mr. NIRMAL BASTOLA -- MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1730310830- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 5900 INLAND SHORES WAY N, KEIZER, OR, 973033883
- Phone
- (503) 399-2424
- Fax
- (503) 589-6240
Specialties & Taxonomies
Family Medicine
License: NE #6135
Family Medicine
Primary License: OR #MD181082