Nicolas Hall, ACNPC-AG
Nicolas Hall, ACNPC-AG is a Nurse Practitioner in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 6
- Licensed in
- OR
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
Phone: (503) 494-5300
Fax: (503) 494-6519
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2450 Ne Mary Rose Pl Ste 205, Bend, OR 97701-7132 — (541) 749-4247
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 202005325NP-PP (OR) |
|---|---|
| Flight Registered Nurse | Taxonomy 163WF0300X · Licence 200942580RN (OR) |
Record details
| NPI number | 1144844184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ACNPC-AG |
| Sole proprietor | No |
| NPI enumerated | June 5, 2020 |
| Last updated in NPPES | January 26, 2023 |
| Certification date | January 26, 2023 |
| Mailing address | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | University Professional Services — 1704 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |