DR. NICOLE MARIE WILSON (NPI# 1891929923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891929923 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MARIE WILSON |
| Other Name | NICOLE MARIE STILLS |
| Credential | D.C. |
| Practice Address |
1411 Nw Raleigh Street Portland OR 97209-2573 |
| Practice Telephone | 5038032208 |
| Mailing Telephone | 5038032208 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2012-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3914 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326544545 | Nicole Wilson | Occupational Therapy Assistant | 17415 N 92nd Ave, Peoria, AZ 85382-8214 | 2018-04-05 |
| 1679014997 | Nicole Lynn Wilson | Nurse's Aide | 2054 Magee St, Down, Lakewood, OH 44107-5238 | 2017-03-20 |
| 1598214801 | Nicole Wilson | Specialist/Technologist | 81 E Broadway St, Ipava, IL 61441-5236 | 2016-09-27 |
| 1144663725 | Nicole Ann Wilson | Military Health Care Provider | 4701 Apple Tree Dr, Alexandria, VA 22310-2802 | 2013-04-12 |
| 1851681027 | Nicole Wilson | Contractor | 933 N Rivershire Dr, Conroe, TX 77304-2793 | 2011-04-08 |
| 1275845547 | Nicole Olivia Wilson | Nurse Practitioner | 914 1st Ave Se, Minot, ND 58701-4008 | 2010-07-02 |
| 1093941056 | Nicole Sharee Wilson | Chiropractor | 1455 Westfield Ave Sw, North Canton, OH 44720-4235 | 2009-06-04 |
| 1902044217 | Nicole Ann Wilson | Pharmacist | 4 Railroad Street, St. Marys, PA 15857-1798 | 2009-01-23 |
| 1396344883 | Nicole Wilson | Technician | 111 Virginia Ave, Petersburg, WV 26847-1713 | 2020-10-26 |
| 1710510201 | Nicole Sara Wilson | Nurse Practitioner | 900 Centennial Blvd Ste 202, Voorhees, NJ 08043-4637 | 2020-02-13 |
| Street Address |
1411 NW RALEIGH STREET |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.