Individual
ELI NICHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
16538 CARNEGIE AVE, LAKE OSWEGO, OR 97035-4004
(360) 921-3188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
09/11/2025
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