Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE GRACE WHISKEYJACK, CRM
ActiveNICOLE GRACE WHISKEYJACK, CRM is a 405300000X healthcare provider located in PENDLETON, Oregon. NPI 1841809134 is currently active in the NPPES registry. Verify at CMS.
405300000X · PENDLETON, OR
Registration Details
- NPI Number
- 1841809134
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2020 (6.0352220685698 yrs)
- Last Updated
- Jan 20, 2023
- License
-
20-CRM-173 (OR)
Practice Information
- Address
-
46314 TIMINE WAYPENDLETON, OR, 978019417Browse OR providers · Browse ZIP 97801
- Phone
- 5412408740
- Fax
- 5412408754
- Primary Specialty
-
405300000X
405300000X
Other 405300000X Providers in PENDLETON, OR
| Name | Credential | NPI |
|---|---|---|
| GLAVIS M WAGNER | — | 1720587553 |
| ABELARDO LOZANO | CRM | 1750864229 |
| RACHEL MARIE HOPTOWIT | CRM | 1629687876 |
| VIVIAN JUNE SHAW | CRM | 1205446663 |
| LEEANN MASHAUNA SMITH | CRM | 1508459579 |
| MS. SARAH JEAN FRANK | — | 1205411444 |
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.