JEFFREY NICHOLSON

PORTLAND, OR
NPI1720027485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  6372)
Enumeration Date2006-06-06
Last Update Date2008-05-09
Business Address
Dr. JEFFREY NICHOLSON
4413 SE 39TH AVE
PORTLAND, OR 97202-3117
Phone number: 503-777-2284
Mailing Address
Dr. JEFFREY NICHOLSON
4413 SE 39TH AVE
PORTLAND, OR 97202-3117
Phone number:
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