Individual
MR. TODD L. NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3701 SE MILWAUKIE AVE, SUITE C, PORTLAND, OR 97202-3835
(503) 314-7801
(971) 544-7303
Mailing address
3701 SE MILWAUKIE AVE, SUITE C, PORTLAND, OR 97202-3835
(503) 314-7801
(971) 544-7303
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10378251
OR
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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