NPI 1467191379
Nickiesha Monicks Young
Practice location
- Address
- 5316 NE 29th Ave, Portland, OR 97211-6242
- Phone
- (503) 405-2352
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1467191379
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 May 2022
- Record last updated
- 31 May 2022
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.