Individual provider · Type 1 NPI

Nicole N. Ransbottom, AGACNP

Acute Care Nurse Practitioner · Portland, OR

NPI number 1255065330 Active

Practice location

4400 NE Halsey St Ste 102
Portland, OR 97213-1545

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 1111 NE 99th Ave, Ste 201, Portland, OR 97220-9428 · (503) 962-1000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X202201786RN (OR)
Gerontology Nurse Practitioner 363LG0600X202212418NP-PP (OR)
Acute Care Nurse Practitioner Primary 363LA2100X202212418NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1255065330

Nicole N. Ransbottom, AGACNP's National Provider Identifier is 1255065330, issued on Jul 13, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Apr 25, 2023.