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

Individual provider Obstetrics & Gynecology Physician · NPI 1922569748

Nicole Jene Fennimore, MD is an Obstetrics/Gynecology in Portland, Oregon. Graduated from University of Wisconsin School of Medicine in 2019, 7 years ago. Practices with Obhg Illinois SC, a 30-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
University of Wisconsin School of Medicine
Licensed in
OR
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone: (503) 261-4423
Fax: (503) 261-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD205498 (OR)

Record details

NPI number1922569748
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Obhg Illinois Sc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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