Individual
ELIZABETH CLAIRE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5901 S MACADAM AVE STE 130, PORTLAND, OR 97239-3627
(509) 255-3872
Mailing address
5901 S MACADAM AVE, PORTLAND, OR 97239-3622
(509) 255-3872
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/20/2016
Last updated
04/16/2026
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