Riley, Nicole

Riley, Nicole is an sole proprietor health care provider with primary practice located at 109 Nw Manzanita Ave. , Grants Pass OR 97526-3906. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Riley, Nicole can be contacted via phone (541) 476-2373.

Contact Information

Primary practice address
109 Nw Manzanita Ave. Grants Pass OR 97526-3906
Phone: (541) 476-2373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1851777296
LBN Legal business name Riley, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2015
Last updated Jul 1st, 2022 - about 4 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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