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

Mrs. Lisa Marie Nichols, QMHA

Individual provider Case Manager/Care Coordinator · NPI 1821134016

Mrs. Lisa Marie Nichols, QMHA is a Case Manager/Care Coordinator in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 552-5105
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1821134016
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007

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