Individual
NICHOLIAS ALEXANDER MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 3RD AVE SE, ALBANY, OR 97321-2857
(541) 791-3411
Mailing address
238 3RD AVE SE, ALBANY, OR 97321-2857
(541) 791-3411
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
3211503
OR
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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