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Ricky Anthony Nicoski, MD
Family Medicine Physician in Vancouver, Washington
NPI 1831172717

Ricky Anthony Nicoski is a Family Medicine Physician based in Portland, WA. Ricky Anthony Nicoski practices in Vancouver, WA and has the professional credentials of MD. The NPI Number for Ricky Anthony Nicoski is 1831172717 and holds a License No. 30591 (Washington).

The current practice location address for Ricky Anthony Nicoski is 417 Se 164Th Ave, Vancouver, WA and can be reached out via phone at 360-896-6944 and via fax at 360-254-2894.

Location: 417 Se 164Th Ave, Vancouver, WA, 97292-0900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831172717
Provider Name
Ricky Anthony Nicoski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
417 Se 164Th Ave, Vancouver, WA, 97292-0900
Phone Number
360-896-6944
Fax Number
360-254-2894
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8144925 05 WA
institution
Provider Business Practice Location Address Details
Address
417 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98684-8943
Phone Number
360-896-6944
Fax Number
360-254-2894
person
Provider Business Mailing Address Details
Address
417 Se 164Th Ave
City
Vancouver
State
Washington
Zip
98684-8943
Phone Number
360-896-6944
Fax Number
360-254-2894
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
30591 (Washington)
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 is not limited by age, sex, organ system, or disease entity.
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