Individual provider · Type 1 NPI

Emma Elaine Nichols

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1255644878 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255644878

Emma Elaine Nichols's National Provider Identifier is 1255644878, issued on Jul 24, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 24, 2010.