Russell Nickels, MD
Family Medicine in Milwaukie, OR. Individual provider (NPI-1).
NPI number1386586022
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1386586022
- Entity type
- Individual (NPI-1)
- Name
- Russell Nickels
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | PG230506 | OR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
10330 Se 32nd Ave Ste 205Milwaukie, OR 97222-6594
Phone 503-513-8950
Mailing address
10330 Se 32nd Ave Ste 205Milwaukie, OR 97222-6594
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