Individual
NICHOLE INGALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 222-8333
(541) 222-8320
Mailing address
PEACEHEALTH SURGICAL SPECIALTIES, 3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 222-8333
(541) 222-8320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD171381
OR
2086S0102X
Surgical Critical Care Physician
MD171381
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500688597
—
OR
Enumeration date
04/23/2007
Last updated
03/13/2024
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