IndividualActive
Russel Nichols, MD
NPI 1730187436 · Emergency Medicine Physician · Heppner, OR
Provider details
- NPI number
- 1730187436
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD22062 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
130 Thompson Avenue
Heppner, OR 97836
Phone: (541) 676-5504
Fax: (541) 676-8247
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9
Heppner, OR 97836
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2024-03-06
- Certified
- 2024-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.