Individual
COURTNEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(971) 237-4283
Mailing address
1006 NW 11TH ST, MCMINNVILLE, OR 97128-5073
(971) 237-4283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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