Individual
RACHEL NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # PPV350, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD # PPV350, PORTLAND, OR 97239-3011
(503) 494-8562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7854
OR
1041C0700X
Clinical Social Worker
LW60542556
WA
Other
Enumeration date
08/20/2017
Last updated
10/12/2018
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