Angelyn Nicholson MSW

NPI 1134240864 - Social Worker - 104100000X

NPI Details
NPI 1134240864
Gender Female
Enumeration Date 04/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
PORTLAND OR, 97205-1715, US
Phone (503) 621-1069
Fax (503) 621-0200
Business Location
3404 NE 26TH AVE
PORTLAND OR, 97212-2564, US
Phone (503) 621-1069
Fax (503) 621-0200
Taxonomy Code 104100000X
License State
License Number
Remove 1134240864 NPI Number

According to our database, Angelyn Nicholson MSW NPI is 1134240864, taxonomy code is 104100000X Angelyn Nicholson MSW physically located at 1776 Sw Madison St, Portland OR, 97205-1715. NPI Number Angelyn Nicholson MSW has the Individual type.

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1134240864 NPI number is provided on an as is basis without warranty of any kind. 1134240864 is maintained by the National Plan & Provider Enumeration System. The contents of Angelyn Nicholson MSW are for informational purposes only.