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

Russel James Nichols, MD

Individual provider Family Medicine Physician · NPI 1730187436

Russel James Nichols, MD is an Emergency Medicine in Heppner, Oregon. Qualified in 1998, 28 years ago. Practices with St Anthony Hospital, a 12-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
28
Licensed in
OR, WA
In the registry since
2005
Specialties on file
3
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

130 Thompson Ave
Heppner, OR 97836
Phone: (541) 676-5504
Fax: (541) 676-8247
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD22062 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD22062 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00039026 (WA)

Record details

NPI number1730187436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Anthony Hospital — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Heppner