Robert Stokes Nicholson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201507791RN Issued in OR

Practice address

2735 NE 82ND Ave
Portland, OR 97220-5304

Phone

(503) 916-5220

Fax

(503) 916-2702

NPI assigned

Jun 4, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1457245474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 NE 51ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132705",
            "telephone_number": "650-346-6625",
            "fax_number": "503-257-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205304",
            "telephone_number": "503-916-5220",
            "fax_number": "503-916-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ROBERT",
        "middle_name": "STOKES",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201507791RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Nicholson
• Joshua Ryan Nicholson, PA-C
• Justin Nicholson
• Patricia Nicholson
• Rebecca Lynn Nicholson, N.D.
• Syrena Nicholson, LMT
• Todd L. Nicholson, M.S.
• Valerie Nicholson
• Nick R. Mellum DMD PC
• Jordan Taylor Nickel-Dubin, MA

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.