Individual provider · Type 1 NPI

Janice C. Freitas-Nichols, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1073528592 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

1858 SE Saint Andrews Dr
Portland, OR 97202-9017

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X079042983N2 (OR)
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

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About NPI 1073528592

Janice C. Freitas-Nichols, PNP's National Provider Identifier is 1073528592, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.