Individual
MICHAEL ANDREW MCNICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 542-4603
(503) 233-6093
Mailing address
730 NE 30TH PL, CANBY, OR 97013-2103
(503) 899-9231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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