Individual
DR. JOSHUA PAUL NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD186403
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD186403
OR
Other
Enumeration date
12/15/2006
Last updated
06/13/2018
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