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Individual

NICOLE JEFFERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8471
Mailing address
11450 SE SUNNYSIDE RD APT I14, CLACKAMAS, OR 97015-5514
(503) 826-4194

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
02/20/2026
Last updated
02/20/2026
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