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Individual

NICOLE LEIGH FORBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068-3284
(503) 653-0631
Mailing address
7111 SE WOODWARD ST, PORTLAND, OR 97206-1847
(843) 412-4667

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202201961NP-PP
OR

Other

Enumeration date
04/06/2022
Last updated
04/06/2022
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