Individual
NICOLE M. PASHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1825 E. 19TH ST, THE DALLES, OR 97058
(541) 506-6940
(541) 506-6937
Mailing address
1825 E. 19TH ST, PO BOX 1520, THE DALLES, OR 97058-0000
(541) 506-6940
(541) 506-6937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30003817
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
200850161NP
OR
363LA2200X
Adult Health Nurse Practitioner
AP30003817
WA
363LG0600X
Gerontology Nurse Practitioner
AP30003817
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155780
L&I PIN
WA
05
—
218105
—
OR
05
—
9632506
—
WA
01
—
U19448
REGENCE BLUE SHIELD PIN
WA
Enumeration date
07/06/2006
Last updated
02/02/2009
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