Individual
NICOLAS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
(503) 494-6519
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5300
(503) 494-6519
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
200942580RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
202005325NP-PP
OR
Other
Enumeration date
06/05/2020
Last updated
01/26/2023
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