Individual
NEIL NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 E PINE ST STE 201, CENTRAL POINT, OR 97502-2444
(541) 423-8151
(541) 423-8505
Mailing address
891 OHARE PKWY, MEDFORD, OR 97504-4005
(541) 414-0362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
03/12/2024
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