Individual
ELLEN NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NE 3RD ST, PRINEVILLE, OR 97754-1921
(541) 323-7122
(541) 447-8191
Mailing address
400 NE 3RD ST, PRINEVILLE, OR 97754-1921
(541) 323-7122
(541) 447-8191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
089003283RN
OR
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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