Mary Nichols is a Psychologist in Portland, Oregon. Mary Nichols practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Nichols is 1053517110. The last update date is 2007-07-08.
Mary Nichols's current location address is 1133 Nw 21st Ave, Portland, Oregon. You can contact this provider via phone number 5032225010. The mailing address for Mary Nichols is 1133 Nw 21st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Nichols |
|---|---|
| Address | 1133 Nw 21st Ave, Portland, Oregon |
| Phone Number | 5032225010 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053517110 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1133 Nw 21st Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972091513 |
| Phone Number | 5032225010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 949 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Mary Nichols by the Centers for Medicare & Medicaid Services?
The Mary Nichols has been assigned the NPI (National Provider Identifier) 1053517110 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mary Nichols?
The Mary Nichols is physically situated at 1133 Nw 21St Ave, in the city of Portland, state of OR, with the postal code 972091513.
What is Mary Nichols's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Nichols is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053517110 to Mary Nichols?
The Centers for Medicare & Medicaid Services assigned the 1053517110 to Mary Nichols on 2007-06-26.
When was the Mary Nichols's information last updated?
The Mary Nichols's information was last updated on 2007-07-08.
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