Individual
MR. ROBERT STOKES NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2735 NE 82ND AVE, PORTLAND, OR 97220-5304
(503) 916-5220
(503) 916-2702
Mailing address
1715 NE 51ST AVE, PORTLAND, OR 97213-2705
(650) 346-6625
(503) 257-1779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201507791RN
OR
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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