Individual
DR. NIKOLAS ANTHONY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-2269
Mailing address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-2269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202215053RN
OR
367A00000X
Advanced Practice Midwife
Primary
10047728
OR
367A00000X
Advanced Practice Midwife
ARNP.AP.70032957-CNM
WA
Other
Enumeration date
11/07/2022
Last updated
08/23/2025
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