Individual
MRS. NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
931 NW VIEWPOINT PL, HILLSBORO, OR 97124-3725
(206) 920-2409
Mailing address
14685 SW OSPREY DR APT 1123, BEAVERTON, OR 97007-7964
(206) 920-2409
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201608078RN
OR
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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