Individual
MRS. NIKKIEL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
515 NE ROBERTS AVE, GRESHAM, OR 97030-7307
(503) 477-2477
(423) 205-3302
Mailing address
515 NE ROBERTS AVE, GRESHAM, OR 97030-7307
(503) 894-0493
(423) 205-3302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201701614NP-PP
OR
Other
Enumeration date
03/11/2017
Last updated
03/28/2024
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