Healthcare Provider Details

I. General information

NPI: 1730093865
Provider Name (Legal Business Name): NICKOLAS J HELVEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 3RD ST
TILLAMOOK OR
97141-3430
US

IV. Provider business mailing address

1993 W PARK DR
FLORENCE OR
97439-9735
US

V. Phone/Fax

Practice location:
  • Phone: 775-720-6422
  • Fax:
Mailing address:
  • Phone: 775-720-6422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number205877
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: