Individual
DR. JEFFREY CHARLES NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MSC PHD
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8223
(503) 494-5777
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8223
(503) 494-5777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DF0041
OR
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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