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

Nicole Stuckart

Individual provider Peer Specialist · NPI 1316762529

Nicole Stuckart is a Peer Specialist in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

4080 Reed Rd SE Ste 150
Salem, OR 97302-1335
Phone: (503) 581-1732
Fax: (503) 363-4607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 110255 (OR)

Record details

NPI number1316762529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address4080 Reed Rd Se # Ate150, Salem, OR 97302-1357

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