LARRY MICHAEL NICHOLLS

PORTLAND, OR
NPI1508655101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-05-01
Last Update Date2025-05-01
Business Address
LARRY MICHAEL NICHOLLS
80 SE MADISON ST
PORTLAND, OR 97214-4527
Phone number: 541-337-6374
Mailing Address
LARRY MICHAEL NICHOLLS
80 SE MADISON ST
PORTLAND, OR 97214-4527
Phone number: 541-337-6374
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