Individual
SVATI VALIA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9000
Mailing address
3931 NE 42ND AVE, PORTLAND, OR 97213-1009
(503) 810-4391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL16255
OR
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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