Search › Oregon › 183500000X
Justin Nicholls, PHARMD, BCOP, BCPS
NPI 1891790549 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1201 Ne Lloyd Blvd
Ste 510
Portland, OR 97232 - Phone
- (971) 678-9127
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
183500000X - Licence states on file
- MT, OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-17
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