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NPI Code Detail

MEDICARE: NICOLE PROPERT

MEDICARE: NICOLE PROPERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA2000XAdministrator Registered Nurse201800093RNOR

General Provider Information

NPI Number : 1588514103
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE PROPERT
Provider Business Mailing Address
First Line : 7759 SE 72ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-7921
Country : US
Telephone Number : 503-788-4500
Fax Number : 503-788-4500
Provider Business Practice Location Address
First Line : 7759 SE 72ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-7921
Country : US
Telephone Number : 503-788-4500
Fax Number : 503-788-4500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ NICOLE PROPERT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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