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

Dr. Jeffrey Nicholson

Individual provider General Practice Dentistry · NPI 1720027485

Dr. Jeffrey Nicholson is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

4413 SE 39th Ave
Portland, OR 97202-3117
Phone: (503) 777-2284
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6372 (OR)

Record details

NPI number1720027485
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESMay 9, 2008
Mailing address4413 Se 39th Ave, Portland, OR 97202-3117

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