Search › Oregon › 101YP2500X
Nicholas Revilla
NPI 1659001782 · on the registry since 2022
Practice
- Address
- 10151 Se Sunnyside Rd Ste 480
Happy Valley, OR 97015 - Phone
- (503) 739-8321
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon