Roads, Ishah Nicoll

Roads, Ishah Nicoll is an sole proprietor health care provider with primary practice located at 3024 Ne 63Rd Ave , Portland OR 97213-4510. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Roads, Ishah Nicoll can be contacted via phone (541) 270-6466.

Contact Information

Primary practice address
3024 Ne 63Rd Ave Portland OR 97213-4510
Phone: (541) 270-6466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC21233 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X C4672 Oregon

Profile Details

NPI number 1972860724
LBN Legal business name Roads, Ishah Nicoll
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Aug 23rd, 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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