Nicole Hatalla
Peer Specialist in Springfield, OR. Individual provider (NPI-1).
NPI number1164211611
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1164211611
- Entity type
- Individual (NPI-1)
- Name
- Nicole Hatalla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2025
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1144 Gateway Loop Ste 200Springfield, OR 97477-7706
Phone 541-686-5060
Mailing address
1144 Gateway Loop Ste 200Springfield, OR 97477-7706
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All 35 Peer Specialist providers in Springfield · All 2,571 providers in Springfield
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