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

Nicole Grace Whiskeyjack, CRM

Individual provider Prevention Professional · NPI 1841809134

Nicole Grace Whiskeyjack, CRM is a Prevention Professional in Pendleton, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
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Practice location Address checks out

46314 Timine Way
Pendleton, OR 97801-9417
Phone: (541) 240-8740
Fax: (541) 240-8754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 20-CRM-173 (OR)

Record details

NPI number1841809134
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023

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