Gracelyn N Nickerson, PSS
Gracelyn N Nickerson, PSS is a Peer Specialist in Newport, Oregon. Licensed in Oregon. Registered with an NPI since 2025.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
547 SW 7th StNewport, OR 97365-4909
Phone: (541) 574-9570
Fax: (541) 574-8857
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 113974 (OR) |
|---|
Record details
| NPI number | 1245021971 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSS |
| Sole proprietor | No |
| NPI enumerated | May 13, 2025 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
| Mailing address | Po Box 1538, Newport, OR 97365-0115 |
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