Individual
DR. LESLIE VICTORIA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
8933 N LOMBARD ST, PORTLAND, OR 97203-3003
(503) 544-6130
Mailing address
8933 N LOMBARD ST, PORTLAND, OR 97203-3003
(503) 544-6130
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
795
OR
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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