KAI L NICHOLS

PORTLAND, OR
NPI1316256589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  11-12-89)
Enumeration Date2010-10-05
Last Update Date2016-08-15
Business Address
-- KAI L NICHOLS CADC II
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
Mailing Address
-- KAI L NICHOLS CADC II
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 971-386-2278