Individual
AMBER NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1880 LANCASTER DR NE, SUITE 121, SALEM, OR 97305-1089
(971) 600-3498
Mailing address
2895 ELLIS AVE NE, SALEM, OR 97301-1635
(503) 851-2678
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6278
OR
126800000X
Dental Assistant
—
—
Other
Enumeration date
03/05/2007
Last updated
04/15/2014
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