Individual provider · Type 1 NPI

Hannah Nicholson

Specialist · Vancouver, WA

NPI number 1023908423 Active

Practice location

2612 NE 114th Ave Ste 1
Vancouver, WA 98684-4229

Call (503) 734-7764 Map

Fax (503) 296-2657

Mailing address

2847 Upper Dr
Lake Oswego, OR 97035-3663

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1023908423

Hannah Nicholson's National Provider Identifier is 1023908423, issued on Jul 7, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 7, 2025.