Individual
NICOLE JEANINE CRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 NE MULTNOMAH ST FL 7, PORTLAND, OR 97232-2023
(503) 261-2090
Mailing address
500 NE MULTNOMAH ST FL 7, PORTLAND, OR 97232-2023
(503) 863-7064
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
200540761
OR
163WH0200X
Home Health Registered Nurse
60131781
WA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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