MRS. NELLIE CICHON


Address: 8202 N Denver Ave, Portland, OR 97217-6624
Phone: 5032853200

MRS. NELLIE CICHON (NPI# 1003224205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003224205
Entity Type Individual
Full Name MRS. NELLIE CICHON
Credential CADC 1
Practice Address 8202 N Denver Ave
Portland
OR 97217-6624
Mailing Address 10101 Sw Barbur Blvd
Portland
OR 97219-5915
Practice Telephone 5032853200
Practice Fax Number 5032456263
Mailing Telephone 5032456262
Mailing Fax Number 5032456263
Enumeration Date 2014-07-31
Last Update Date 2014-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
14-04-02 OR Behavioral Health & Social Service Providers

Office Location

Street Address 8202 N DENVER AVE
City PORTLAND
State OR
Zip Code 97217-6624

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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457602708 Northeast Wellness Group, LLC. Psychologist 449 Forest Ave Ste 14, Portland, ME 04101-2037 2012-09-26
1891980140 Acadia Northwest, LLC Psychologist 10101 Sw Barbur Blvd, Suite 101, Portland, OR 97219-5915 2007-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104341965 Joann Zumbrunnen, Lcsw, LLC Psychologist 927 Country Club Rd Ste 200, Eugene, OR 97401-2272 2017-08-13

Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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