Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Nichols

Individual provider Psychologist · NPI 1053517110

Mary Nichols is a Psychologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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Practice location Address checks out

1133 NW 21st Ave
Portland, OR 97209-1513 Not confirmed with CMS for 19 years — call before visiting
Phone: (503) 222-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0949 (OR)

Record details

NPI number1053517110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESJuly 8, 2007

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