Nichols, William D

Nichols, William D is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 301, Portland OR 97225-6663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nichols, William D can be contacted via phone (503) 297-3371.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 301 Portland OR 97225-6663
Phone: (503) 297-3371
Fax: (503) 297-7975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD13071 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD13071 Oregon

Profile Details

NPI number 1760471775
LBN Legal business name Nichols, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760471775 NPPES
Oregon MEDICAID 261909

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