Individual
NICHOLE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
925 COMMERCIAL ST SE STE 250, SALEM, OR 97302-4176
(503) 304-4358
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-344
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-20-344
MHACBO
OR
Enumeration date
07/07/2021
Last updated
07/08/2025
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