IndividualActive
Nonika Mccallister, RN
NPI 1083902571 · Home Health Registered Nurse · Gresham, OR
Provider details
- NPI number
- 1083902571
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN61215528 (WA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
1005 Se 214th Ave
Gresham, OR 97030-3446
Phone: (971) 302-3354
Approximate (ZIP-level) locationGet directions
Mailing address
1005 Se 214th Ave
Gresham, OR 97030-3446
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.