Individual provider · Type 1 NPI

James Nicholas

Peer Specialist · Milwaukie, OR

NPI number 1407215635 Active

Practice location

11458 SE Mceachron Ave
Milwaukie, OR 97222-1264

Call (503) 786-3830 Map

Fax (503) 653-3534

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XPROFESSIONALLICENSE

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1407215635

James Nicholas's National Provider Identifier is 1407215635, issued on Feb 16, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 16, 2025.