Nicolle Asencio
Nicolle Asencio is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with The Wallace Medical Concern, a 10-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 2
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
19500 SE Stark StPortland, OR 97233-5757
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 10031838 (OR) |
|---|
Record details
| NPI number | 1225753692 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 7, 2022 |
| Last updated in NPPES | November 15, 2024 |
| Certification date | November 15, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | The Wallace Medical Concern — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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