Individual provider · Type 1 NPI

Lillian Ruth Nickerson, R.N.

Registered Nurse · Portland, OR

NPI number 1982142147 Active

Practice location

832 NE 162nd Ave
Portland, OR 97230-5765

Call (503) 262-0145 Map

Mailing address

722 NE 162nd Ave
Portland, OR 97230-5760

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X201607315RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1982142147

Lillian Ruth Nickerson, R.N.'s National Provider Identifier is 1982142147, issued on Feb 8, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2017.