Individual
PATRICIA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(503) 410-3009
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-3822
(503) 410-3009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
06/08/2026
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