Individual
NICHOLAS DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
825 NW HIGHWAY 101, SUITE A, LINCOLN CITY, OR 97367-3241
(541) 996-7480
(541) 557-6439
Mailing address
PO BOX 1194, CORVALLIS, OR 97339-1194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179857
OR
Other
Enumeration date
12/05/2014
Last updated
02/18/2021
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