Hannah Nicholson
Specialist in Vancouver, WA. Individual provider (NPI-1).
NPI number1023908423
StatusActive
Last updated in NPPESJul 7, 2025
Details
- NPI
- 1023908423
- Entity type
- Individual (NPI-1)
- Name
- Hannah Nicholson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2025
- Certification date
- Jul 7, 2025
- Last updated
- Jul 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2612 Ne 114th Ave Ste 1Vancouver, WA 98684-4229
Phone 503-734-7764 · Fax 503-296-2657
Mailing address
2847 Upper DrLake Oswego, OR 97035-3663
Phone 503-734-7764
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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