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

Nicole C Tabbal, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1992350854

Nicole C Tabbal, AGACNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Oregon Vascular Specialists LLC, an 11-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Phone: (503) 962-1000
Fax: (503) 216-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4400 Ne Halsey St Ste 102, Portland, OR 97213-1545 — (503) 216-0990
  • 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 — (971) 434-0080

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201906846NP-PP (OR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 201906846NP-PP (OR)

Record details

NPI number1992350854
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Oregon Vascular Specialists Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland