Individual
ROBERT E NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E. 18TH ST, EUGENE, OR 97403-5254
(541) 346-3575
(541) 346-5844
Mailing address
901 E. 18TH ST, EUGENE, OR 97403-5254
(541) 346-3575
(541) 346-5844
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD12325
OR
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD12325
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037WCGLPG
—
OR
Enumeration date
06/23/2006
Last updated
04/05/2022
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