NICOLE M ERVIN

PORTLAND, OR
NPI1881033439
Former NameNICOLE BAXTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202006403NP-PP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OR  201350111NP)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60579125)
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA  RN60568890)
363L00000X Nurse Practitioner
(Licence: OR  201341028RN)
Enumeration Date2013-06-17
Last Update Date2022-10-12
Business Address
NICOLE M ERVIN ARNP
1110 SE ALDER STREET #301
PORTLAND, OR 97214
Phone number: 971-328-1565
Mailing Address
NICOLE M ERVIN ARNP
1110 SE ALDER STREET #301
PORTLAND, OR 97214
Phone number: 541-530-2793