person
Shannon P Nichols, RN
General Practice Registered Nurse in Portland, Oregon
NPI 1306442504

Shannon P Nichols is a General Practice Registered Nurse based in Portland, OR and is specialized in General Practice. Shannon P Nichols practices in Portland, OR and has the professional credentials of RN. The NPI Number for Shannon P Nichols is 1306442504 and holds a License No. 201041810RN (Oregon).

The current practice location address for Shannon P Nichols is 4400 Ne Halsey St, Portland, OR and can be reached out via phone at 503-513-1300 and via fax at 503-513-1310. You can also correspond with Shannon P Nichols through the mailing address at 304 SE 108TH AVE, PORTLAND, OR - 97216-3126 (mailing address contact number: 503-522-7020).

Location: 4400 Ne Halsey St, Portland, OR, 97216-3126
person
Provider Profile Details
NPI Number
1306442504
Provider Name
Shannon P Nichols
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4400 Ne Halsey St, Portland, OR, 97216-3126
Phone Number
503-513-1300
Fax Number
503-513-1310
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4400 Ne Halsey St
City
State
Zip
97213-1545
Phone Number
503-513-1300
Fax Number
503-513-1310
person
Provider Business Mailing Address Details
Address
304 Se 108Th Ave
City
State
Zip
97216-3126
Phone Number
503-522-7020
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
201041810RN (Oregon)
Definition
Definition to come...
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