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Contact Information

TODD L NICHOLSON, M.S.
3701 SE MILWAUKIE AVE
SUITE C
PORTLAND, OR97202-3835
 Phone: 503-314-7801
 Fax: 971-544-7303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TODD L NICHOLSON · (Male)

NPI # 1093052912
Status Active
Credentials M.S.
Entity Individual
Enumeration date 01/11/2013
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 10378251
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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