Individual
MR. NICHOLAS CEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
Mailing address
3641 CAMERON CT NE, ALBANY, OR 97322-4591
(971) 239-6914
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
105630
OR
Other
Enumeration date
11/01/2021
Last updated
03/29/2022
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