MEDICARE: ROBIN AURORA PALMER-NICKS DC

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
1	111N00000X	Chiropractor	6084	OR

General Provider Information

NPI Number	:	1427514876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN AURORA PALMER-NICKS DC

Provider Business Mailing Address
First Line	:	15000 SW BARROWS RD STE 202
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-8778
Country	:	US
Telephone Number	:	503-489-7278
Fax Number	:

Provider Business Practice Location Address
First Line	:	15000 SW BARROWS RD STE 202
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97007-8778
Country	:	US
Telephone Number	:	503-489-7278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2019
Last Update Date	:	08/30/2024

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