IndividualActive
Nicole Hainley, AGACNP, FNP
NPI 1609172006 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1609172006
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP, FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 201150145NP (OR)
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2011-02-02
- Last updated
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.