Nicole Alicia Forbes

Individual provider Active NPI Peer Specialist · Lakeview, OR

NPI 1275250482 · NPPES record last updated Oct 27, 2022

Key facts

NPI
1275250482
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
700 S J St
Lakeview, OR 97630-1623
Phone
(541) 947-2114
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OR Yes

Addresses

Primary practice location

700 S J St
Lakeview, OR 97630-1623

Mailing address

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nforbes@lakehealthdistrict.org Lake District Hospital Physicians Group

Other providers in Lakeview, OR

All providers in Lakeview, OR · Peer Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.