Organization
NW ASSETS, LLC
Active
Other names
Nicholson Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NICHOLSON D.M.D. (DENTIST)
(503) 777-2284
Entity
Organization
Contact information
Practice address
4413 SE 39TH AVE, PORTLAND, OR 97202-3117
(503) 777-2284
Mailing address
25 NW 23RD PL, SUITE 6-142, PORTLAND, OR 97210-5580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6372
OR
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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