Individual
NICOLE A DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELING INTERN,
Contact information
Practice address
2245 SW TROY ST, PORTLAND, OR 97219-2657
(503) 760-4000
Mailing address
13844 SE RUST WAY, DAMASCUS, OR 97089-8286
(503) 998-4057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200940964RN
OR
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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