Individual provider · Type 1 NPI

Nicole C. Tabbal, AGACNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1992350854 Active

Practice location

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612

Fax (503) 216-0950

Other practice locations

  • 4400 NE Halsey St Ste 102, Portland, OR 97213-1545 · (503) 216-0990
  • 25030 SW Parkway Ave Ste 200, Wilsonville, OR 97070-9816 · (971) 434-0080

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X201906846NP-PP (OR)
Acute Care Nurse Practitioner 363LA2100X201906846NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

30 other providers at this address

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About NPI 1992350854

Nicole C. Tabbal, AGACNP's National Provider Identifier is 1992350854, issued on Aug 7, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Jun 30, 2026.