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Contact Information

JORDAN T NICKEL DUBIN, MA
811 NW 19TH AVE # 301
PORTLAND, OR97209-1401
 Phone: 503-866-0299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JORDAN T NICKEL DUBIN · (Female)

NPI # 1184461345
Status Active
Credentials MA
Entity Individual
Enumeration date 07/13/2024
Last updated 07/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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