Individual
JOHN JAMES NISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 16TH ST, OREGON CITY, OR 97045-1707
(503) 705-7191
Mailing address
1415 16TH STREET, OREGON CITY, OR 97045-1707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201143290RN
OR
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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