NIKKI FREDERICK

PORTLAND, OR
NPI1902274632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  3016)
Enumeration Date2015-09-11
Last Update Date2024-03-01
Business Address
NIKKI FREDERICK Ph.D.
1308 NW 20TH AVE STE 7
PORTLAND, OR 97209-1607
Phone number: 801-678-8375
Mailing Address
NIKKI FREDERICK Ph.D.
1890 SW GOLF CREEK DR APT H
PORTLAND, OR 97225-7304
Phone number: 801-678-8375
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