IndividualActive
Lillian Nickerson, R.N.
NPI 1982142147 · Registered Nurse · Portland, OR
Lillian Nickerson, R.N. is a Registered Nurse provider in Portland, OR (NPI 1982142147).
Provider details
- NPI number
- 1982142147
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 201607315RN (OR)
Practice location
832 Ne 162nd Ave
Portland, OR 97230-5765
Phone: (503) 262-0145
Street-level locationGet directions
Mailing address
722 Ne 162nd Ave
Portland, OR 97230-5760
Registry dates
- Enumerated
- 2017-02-08
- Last updated
- 2017-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.