Wellformed AI

NPI 1144844184 · live from the CMS NPI Registry

Nicolas Hall, ACNPC-AG

Nurse Practitioner, Acute Care in Portland, OR. National Provider Identifier 1144844184, active.

NPI record

NPI1144844184 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Acute Care 363LA2100X
Practice location3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Practice phone503-494-5300
EnumeratedJune 5, 2020
Last updatedJanuary 26, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Flight163WF0300X200942580RN (OR)
Nurse Practitioner, Acute Care primary363LA2100X202005325NP-PP (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.