Individual
DR. REBECCA LYNN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
1532 NE 21ST AVE, APT. 606, PORTLAND, OR 97232-1566
(219) 718-7430
Mailing address
1532 NE 21ST AVE, APT. 606, PORTLAND, OR 97232-1566
(219) 718-7430
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3044
OR
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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