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Nicholas Defelice

NPI Registration Record

Provider / OrganizationNPIDate Certified
NICHOLAS DEFELICE11448095672021-04-04

Nicholas Defelice is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144809567. Registration indicates Nicholas Defelice is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Nicholas Defelice MD
Practice Office Address3181 SW SAM JACKSON PARK RD
PORTLAND, OR US
Practice Office Telephone5034948211
Mailing Address3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393098 US
Business Telephone5034948211
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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