Individual
JAMES NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11458 SE MCEACHRON AVE, MILWAUKIE, OR 97222-1264
(503) 786-3830
(503) 653-3534
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
02/16/2016
Last updated
06/16/2025
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