Individual
MR. NICHOLAS JAMES IAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3955 SALMON RIVER HWY, OTIS, OR 97368-9778
(541) 614-4437
(888) 977-2106
Mailing address
3955 SALMON RIVER HWY, OTIS, OR 97368-9778
(541) 614-4437
(888) 977-2106
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
201141963RN
OR
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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