Ricky Anthony Nicoski in Portland - Family Medicine

Ricky Anthony Nicoski - NPI 1831172717

Ricky Anthony Nicoski is a Family Medicine in Portland, Oregon. Ricky Anthony Nicoski practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ricky Anthony Nicoski is 1831172717. The last update date is 2014-09-03.

Ricky Anthony Nicoski's current location address is Po Box 92900, Portland, Oregon. You can contact this provider via phone number 3608966944. The mailing address for Ricky Anthony Nicoski is Po Box 92900, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Ricky Anthony Nicoski
Address Po Box 92900, Portland, Oregon
Phone Number 3608966944
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1831172717
Provider Enumeration Date 2005-11-23
Last Updated Date 2014-09-03

Provider Mailing Address Detail

Address Po Box 92900
City Portland
State Oregon (OR)
Post Code 972920900
Phone Number 3608966944
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 30591
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8144925 WA --

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FAQs about Ricky Anthony Nicoski

What is the Ricky Anthony Nicoski's 1831172717?

The Ricky Anthony Nicoski's NPI (National Provider Identifier) Number is 1831172717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ricky Anthony Nicoski's facilities are situated?

The facilities of Ricky Anthony Nicoski are physically located at the following address: Po Box 92900, Portland, OR, 972920900.

What is Ricky Anthony Nicoski's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ricky Anthony Nicoski is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Ricky Anthony Nicoski receive its 1831172717 assignment from the Centers for Medicare & Medicaid Services?

The Ricky Anthony Nicoski was assigned its 1831172717 by the Centers for Medicare & Medicaid Services on 2005-11-23.

When was the information pertaining to Ricky Anthony Nicoski most recently updated or revised?

The details related to Ricky Anthony Nicoski, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-03.

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