Individual
DR. PAUL JEFFREY NICOLAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
5933 NE WIN SIVERS DR, SUITE 226, PORTLAND, OR 97220-9056
(503) 200-5231
(503) 200-5746
Mailing address
5933 NE WIN SIVERS DR, SUITE 226, PORTLAND, OR 97220-9056
(503) 200-5231
(503) 200-5746
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1330
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275315
OMAP
OR
Enumeration date
10/29/2005
Last updated
09/02/2010
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