Nathan Jaylen Nickerson
Nathan Jaylen Nickerson is a Counselor in Portland, Oregon. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3415 SE Powell BlvdPortland, OR 97202-3371
Phone: (503) 234-9591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1104504869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | February 3, 2026 |
| Certification date | February 3, 2026 |
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