NICOLE SWANSON, LPN

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1033431721

Practice Address

1312 SW WASHINGTON ST
Portland, OR 97205

Phone: (503) 535-1151

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No VN246897 (CA)
Substance Abuse Rehabilitation Facility 324500000X Yes 201030354LPN (OR)

Frequently Asked Questions

NPI 1033431721 is the National Provider Identifier for NICOLE SWANSON, LPN, a Substance Abuse Rehabilitation Facility provider located in Portland, OR. This NPI was enumerated on February 22, 2010.
NICOLE SWANSON, LPN practices at 1312 SW WASHINGTON ST, Portland, OR 97205.

Quick Facts

NPI
1033431721
Type
Individual
Enumerated
Feb 22, 2010
Last Updated
Oct 8, 2010

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