Search › Oregon › 225700000X
Joshua Nickelsen
NPI 1942964838 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3630 Se Cesar E Chavez Blvd Apt 11
Portland, OR 97202 - Phone
- (917) 617-4741
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-26
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