Individual
NICHOLE SLYKHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
1720 NW LOVEJOY ST, PORTLAND, OR 97209-2346
(503) 922-6633
(833) 551-4824
Mailing address
1720 NW LOVEJOY ST, PORTLAND, OR 97209-2346
(503) 922-6633
(833) 551-4824
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201507599RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201706246NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811354871
NPI
OR
Enumeration date
01/21/2016
Last updated
02/04/2026
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