NPI 1174085831 · live from the CMS NPI Registry
Nicholas James Iamon, RN
Registered Nurse, General Practice in Otis, OR. National Provider Identifier 1174085831, active.
NPI record
| NPI | 1174085831 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 3955 Salmon River Hwy, Otis, OR 97368 |
| Practice phone | 541-614-4437 |
| Enumerated | April 2, 2019 |
| Last updated | April 2, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 201141963RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.