Individual
MRS. DEBORAH ELIZABETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC INTERN
Contact information
Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(971) 330-2865
Mailing address
4770 NW 186TH AVE, PORTLAND, OR 97229-2002
(805) 835-8713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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