IndividualActive
Nicholas Angeles
NPI 1972274595 · Independent Duty Corpsman · Warrenton, OR
Provider details
- NPI number
- 1972274595
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2185 Se 12th Pl
Warrenton, OR 97146-9311
Phone: (503) 861-6240
Approximate (ZIP-level) locationGet directions
Mailing address
993 Culp Ct
Astoria, OR 97103-5336
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.