Individual
NICOLLE CHRISTINE IOAKEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
17020 PILKINGTON RD, LAKE OSWEGO, OR 97035-5352
(503) 908-1646
(503) 908-1648
Mailing address
17020 PILKINGTON RD, LAKE OSWEGO, OR 97035-5352
(503) 908-1646
(503) 908-1648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA215832
OR
Other
Enumeration date
08/21/2017
Last updated
10/01/2024
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