Jereme Dawn Nickell in Portland - Occupational Therapist
Jereme Dawn Nickell - NPI 1962689935
Jereme Dawn Nickell is a Occupational Therapist in Portland, Oregon. Jereme Dawn Nickell practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jereme Dawn Nickell is 1962689935. The last update date is 2011-11-30.
Jereme Dawn Nickell's current location address is 1815 Sw Marlow Ave, Portland, Oregon. You can contact this provider via phone number 5032920765 and fax number 5032925208. The mailing address for Jereme Dawn Nickell is 1815 Sw Marlow Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jereme Dawn Nickell |
|---|---|
| Address | 1815 Sw Marlow Ave, Portland, Oregon |
| Phone Number | 5032920765 |
| Fax Number | 5032925208 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1962689935 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | 1815 Sw Marlow Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255185 |
| Phone Number | 5032920765 |
| Fax Number | 5032925208 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1022423 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique identifier code issued to Jereme Dawn Nickell by the Centers for Medicare & Medicaid Services?
The Jereme Dawn Nickell has been assigned the NPI (National Provider Identifier) 1962689935. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jereme Dawn Nickell is physically located?
The Jereme Dawn Nickell is physically situated at the following address: 1815 Sw Marlow Ave, Portland, OR, 972255185.
What is Jereme Dawn Nickell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jereme Dawn Nickell is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
When did the Jereme Dawn Nickell receive its 1962689935?
The Jereme Dawn Nickell was issued its 1962689935 on 2008-01-22, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Jereme Dawn Nickell most recently updated or revised?
The details related to Jereme Dawn Nickell, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-30.
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