IndividualActive
Nicole Place, MD
NPI 1235633280 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1235633280
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD206009 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7592
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Additional practice locations (1)
- 3181 Sw Sam Jackson Park RdPortland, OR 97239-3011Phone: (503) 494-8211
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.