Individual provider · Type 1 NPI

Jason Matthew Nichols

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1104690031 Active

Practice location

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10065379 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104690031

Jason Matthew Nichols's National Provider Identifier is 1104690031, issued on Nov 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Oct 26, 2026.