Nicholls, Justin D

Nicholls, Justin D is an sole proprietor health care provider with primary practice located at 1201 Ne Lloyd Blvd Ste 510, Portland OR 97232-1202. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nicholls, Justin D can be contacted via phone (971) 678-9127.

Contact Information

Primary practice address
1201 Ne Lloyd Blvd Ste 510 Portland OR 97232-1202
Phone: (971) 678-9127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 3984 Montana
Pharmacy Service Providers / Pharmacist 183500000X RPH-0010070 Oregon
Pharmacy Service Providers / Pharmacist 183500000X PH00052231 Washington

Profile Details

NPI number 1891790549
LBN Legal business name Nicholls, Justin D
Credentials PHARMD, BCOP, BCPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2005
Last updated Oct 17th, 2014 - about 11 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.

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