Individual
NICOLE PAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6638 NE SANDY BLVD, PORTLAND, OR 97213-5250
(503) 606-6968
Mailing address
6638 NE SANDY BLVD, PORTLAND, OR 97213-5250
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
BAPE10223076
OR
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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