Nickerson, Joshua Paul

Nickerson, Joshua Paul is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nickerson, Joshua Paul can be contacted via phone (503) 418-0990.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239
Phone: (503) 418-0990
Fax: (503) 494-4982
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD186403 Oregon
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD186403 Oregon

Profile Details

NPI number 1932261906
LBN Legal business name Nickerson, Joshua Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jun 13th, 2018 - about 6 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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