Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN TAYLOR NICKEL-DUBIN, MA
ActiveJORDAN TAYLOR NICKEL-DUBIN, MA is a 101200000X healthcare provider located in PORTLAND, Oregon. NPI 1184461345 is currently active in the NPPES registry. Verify at CMS.
101200000X · PORTLAND, OR
Registration Details
- NPI Number
- 1184461345
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2024 (2.0639437265825 yrs)
- Last Updated
- Jul 13, 2024
Practice Information
- Address
-
811 NW 19TH AVE # 301PORTLAND, OR, 972091401Browse OR providers · Browse ZIP 97209
- Phone
- 5038660299
- Primary Specialty
-
101200000X
101200000X
- Additional Specialty
- 101200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.