Individual provider · Type 1 NPI
Nicole Lynn Desbrough, NP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1184928517
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 418-2208
Other practice locations
- 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 · (734) 936-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704244076 (MI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 10043801 (OR) |
| Adult Health Nurse Practitioner | 363LA2200X | 4704244076 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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- Miles Percy Holland, RN, MS, ANPAdult Health Nurse Practitioner Portland, OR NPI 1023380979
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- Julie Hawkins Carter, ANPAdult Health Nurse Practitioner Portland, OR NPI 1083783351
About NPI 1184928517
Nicole Lynn Desbrough, NP's National Provider Identifier is 1184928517, issued on Dec 28, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2025.