=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730093865
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NICKOLAS J HELVEY
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 3RD ST
-----------------------------------------------------
City | TILLAMOOK
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97141-3430
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-720-6422
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1993 W PARK DR
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97439-9735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-720-6422
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 146L00000X
-----------------------------------------------------
Taxonomy Name | Paramedic
-----------------------------------------------------
License Number | 205877
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------