NPI 1033431721

Nicole Swanson, LPN

Practitioner Substance Abuse Rehabilitation Facility Portland, OR

Practice location

Address: 1312 SW Washington St, Portland, OR 97205-2327
Phone: (503) 535-1151
Fax: (503) 535-1190

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 201030354LPN (OR)

Other Substance Abuse Rehabilitation Facility providers in Oregon →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence VN246897 (CA)

Other Counselor providers in Oregon →

Registry record

NPI: 1033431721
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2010
Record last updated: 8 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.