DANE J NICHOLS

PORTLAND, OR
NPI1801993621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: OR  MD21683)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
DANE J NICHOLS MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1620
Mailing Address
DANE J NICHOLS MD
7849 SW GALE RIDGE LN
PORTLAND, OR 97229
Phone number: