Todd L. Nicholson M.S.

NPI 1093052912 - Psychologist - 103TS0200X

NPI Details
NPI 1093052912
Gender Male
Enumeration Date 01/11/2013
Last Updated 01/11/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
3701 SE MILWAUKIE AVE
SUITE C
PORTLAND OR, 97202-3835, US
Phone (503) 314-7801
Fax (971) 544-7303
Business Location
3701 SE MILWAUKIE AVE
SUITE C
PORTLAND OR, 97202-3835, US
Phone (503) 314-7801
Fax (971) 544-7303
Toxanomy
Taxonomy Code 103TS0200X
License State Oregon
License Number 10378251
Remove 1093052912 NPI Number
 

According to our database, Mr. Todd L. Nicholson M.S. NPI is 1093052912, taxonomy code is 103TS0200X and license number is 10378251, license state is located at Oregon. Todd L. Nicholson M.S. physically located at 3701 Se Milwaukie Ave, Portland OR, 97202-3835. NPI Number Todd L. Nicholson M.S. has the Individual type.

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1093052912 NPI number is provided on an as is basis without warranty of any kind. 1093052912 is maintained by the National Plan & Provider Enumeration System. The contents of Todd L. Nicholson M.S. are for informational purposes only.