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

Dr. Jeffrey Charles Nickel, DMDMSCPHD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1679440192

Dr. Jeffrey Charles Nickel, DMDMSCPHD is an Orthodontics and Dentofacial Orthopedics Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 494-8223
Fax: (503) 494-5777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DF0041 (OR)

Record details

NPI number1679440192
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMSCPHD
Sole proprietorYes
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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