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NPI Code Detail

MEDICARE: NICHOLAS PAGAN SLP

MEDICARE:   NICHOLAS  PAGAN  SLP
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
1235Z00000XSpeech-Language Pathologist18803OR

General Provider Information

NPI Number : 1528992310
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PAGAN SLP
Provider Business Mailing Address
First Line : 2020 SW BRIGGS CT
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-1100
Country : US
Telephone Number : 971-217-2059
Fax Number :
Provider Business Practice Location Address
First Line : 1610 SE GLENWOOD ST
Second Line :
City : PORTLAND
State : OR
Zip : 97202-5615
Country : US
Telephone Number : 971-217-2059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ NICHOLAS PAGAN SLP” Practice Location

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