Ingram, Nicole Gay

Ingram, Nicole Gay is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 300, Tualatin OR 97062-7452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ingram, Nicole Gay can be contacted via phone (503) 855-1205.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 300 Tualatin OR 97062-7452
Phone: (503) 855-1205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200550147 Oregon

Profile Details

NPI number 1154392223
LBN Legal business name Ingram, Nicole Gay
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 9th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154392223 NPPES
Oregon MEDICAID 500629260

Popular Providers