Individual
NICHOLE SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201141098RN
OR
363LF0000X
Family Nurse Practitioner
Primary
202202166NP
OR
Other
Enumeration date
10/05/2021
Last updated
10/20/2025
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