Jordan Taylor Nickel-dubin, MA is a
Drama Therapist based in Portland, Oregon. Jordan Taylor Nickel-dubin is licensed to practice in * (Not Available) (license number ) and her current practice location is
811 Nw 19th Ave # 301, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 866-0299.
NPI number for Jordan Taylor Nickel-dubin is 1184461345 and her current mailing address is 1725 Sw Salmon St Apt 409, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184461345.
Healthcare Provider's Profile
Full Name | Jordan Taylor Nickel-dubin |
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Gender | Female |
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Speciality | Drama Therapist |
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Location | 811 Nw 19th Ave # 301, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184461345
- Provider Enumeration Date: 07/13/2024
- Last Update Date: 07/13/2024
Medical Identifiers
Medical identifiers for Jordan Taylor Nickel-dubin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184461345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101200000X | Drama Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Taylor Nickel-dubin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Taylor Nickel-dubin, MA 1725 Sw Salmon St Apt 409, Portland, OR 97205-3845 Ph: (818) 635-3808 | Jordan Taylor Nickel-dubin, MA 811 Nw 19th Ave # 301, Portland, OR 97209-1401 Ph: (503) 866-0299 |
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