Individual
EMILY NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1842 MARIGOLD ST NE, KEIZER, OR 97303-1935
(503) 400-2804
Mailing address
1842 MARIGOLD ST NE, KEIZER, OR 97303-1935
(503) 400-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201604636
OR
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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