Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Davie Jun Nicolas

Individual provider Occupational Therapist · NPI 1659255370

Davie Jun Nicolas is an Occupational Therapist in Private Practice in Clackamas, Oregon. Qualified in 2024, 2 years ago. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025
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Practice location Address checks out

10121 SE Sunnyside Rd Ste 300
Clackamas, OR 97015-5713
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 239952 (OR)

Record details

NPI number1659255370
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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