IndividualActive
Nicole Whiskeyjack, CRM
NPI 1841809134 · Prevention Professional · Pendleton, OR
Provider details
- NPI number
- 1841809134
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- CRM
- Sex
- Female
- Sole proprietor
- No
- License
- 20-CRM-173 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
46314 Timine Way
Pendleton, OR 97801-9417
Phone: (541) 240-8740
Fax: (541) 240-8754
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 160
Pendleton, OR 97801-0160
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2023-01-20
- Certified
- 2023-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.