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Contact Information

KATELYN NICHOLS
1880 LANCASTER DR NE STE 121
SALEM, OR97305-1069
 Phone: 971-600-3498
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for KATELYN NICHOLS · (Female)

NPI Number 1073997086
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2015
Last updated 03/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # D10277
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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