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Individual

NICOLETTE TSIVIKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8927 N GENEVA AVE, PORTLAND, OR 97203-2603
(916) 606-9585
Mailing address
8927 N GENEVA AVE, PORTLAND, OR 97203-2603
(916) 606-9585

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60772656
WA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
201704034RN
OR

Other

Enumeration date
05/05/2025
Last updated
05/05/2025
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