Individual
NICOLE W ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CNOR RNFA
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(971) 269-8951
Mailing address
4216 NE HOYT ST, PORTLAND, OR 97213-1644
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201393923RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201393923RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
07/26/2019
Last updated
10/01/2025
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