Individual
NICOLE BRIANNA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2999
(503) 220-8262
Mailing address
3113 YEOMAN AVE, VANCOUVER, WA 98660-1170
(201) 602-0916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN746641
PA
Other
Enumeration date
06/01/2022
Last updated
04/24/2025
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