Individual provider · Type 1 NPI

Jeffrey Nicholson

General Practice Dentistry · Portland, OR

NPI number 1720027485 Active

About NPI 1720027485

Jeffrey Nicholson's National Provider Identifier is 1720027485, issued on Jun 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on May 9, 2008.