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

Jessica Nicolle

Individual provider Physical Therapy Assistant · NPI 1154714798

Jessica Nicolle is a Physical Therapy Assistant in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

4560 SE International Way
Milwaukie, OR 97222-4628
Phone: (971) 260-5202
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 08825 (OR)

Record details

NPI number1154714798
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2015
Last updated in NPPESMarch 6, 2015

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