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

Mary Nichols

Individual provider Psychologist · NPI 1053517110

Mary Nichols is a Psychologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1133 NW 21st Ave
Portland, OR 97209-1513
Phone: (503) 222-5010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0949 (OR)

Record details

NPI number1053517110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1133 Nw 21st Ave, Portland, OR 97209-1513

Other providers in Portland