Nicole Marie Bagley
Individual provider Active NPI Personal Care Attendant · Portland, OR
NPI 1700511425 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1700511425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1232 NW 23Rd Ave
Portland, OR 97210-2906 - Phone
- (503) 227-3450
- NPI assigned
- Jul 18, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1232 NW 23Rd Ave
Portland, OR 97210-2906
Mailing address
PO Box 8459
Portland, OR 97207-8459
Other providers in Portland, OR
- Annavi Baghel
- Guiti Bagherinia
- Aman Bagla
- Jodie Jan Bagley
- Natalie Bagley
- Rachel L Bagley
- Ted Bagley
- Olivia Marie Bagot
- Anthony Bagoyo
- Alexis Kari Bagwell
All providers in Portland, OR · Personal Care Attendant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.