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

Russell Nickels, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386586022

Russell Nickels, MD is a Student in an Organized Health Care Education/Training Program in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026
Specialties on file
2
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

10330 SE 32nd Ave Ste 205
Milwaukie, OR 97222-6594
Phone: (503) 513-8950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence PG230506 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386586022
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594

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