Individual provider · Type 1 NPI

Shannon P. Nichols, RN

General Practice Registered Nurse · Portland, OR

NPI number 1306442504 Active

Practice location

4400 NE Halsey St
Portland, OR 97213-1545

Fax (503) 513-1310

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X201041810RN (OR)

General Practice Registered Nurse: Definition to come...

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About NPI 1306442504

Shannon P. Nichols, RN's National Provider Identifier is 1306442504, issued on Dec 11, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Portland, OR. The record was last updated on Jul 18, 2024.