Individual
DR. DANIEL PATRICK NICOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-8000
(503) 944-8017
Mailing address
13001 E 17TH PL, CAMPUS BOX F546, BLDG. 500 ROOM E2322, AURORA, OR 80045-4290
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO173799
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
08/23/2019
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