Individual
MS. SHARON MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Mailing address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00228
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720542749
GROUP NPI
OR
Enumeration date
05/20/2006
Last updated
02/25/2019
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