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JESSICA ANTOINETTE NICHOLAS
NPI 1174127476
Technician - Personal Care Attendant in Portland, OR

Active since November 27, 2020
5725 NE PRESCOTT ST, PORTLAND, OR 97218(503) 548-8085 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Antoinette Nicholas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANTOINETTE NICHOLAS (NPI 1174127476) is an individual personal care attendant in Portland, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1174127476
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJESSICA ANTOINETTE NICHOLAS
Location Address5725 NE PRESCOTT STPortland, OR 97218-2275
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 548-8085
Sole ProprietorNo
Enumeration DateNovember 27, 2020
NPPES CertifiedNovember 27, 2020
✔ NPI 1174127476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
5725 NE PRESCOTT ST, Portland, OR 97218
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE LOUISE SCHWAB
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
CHRISTOPHER RYAN GAGE
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
KIARA SHAKIR TAYLOR
Case Manager/Care Coordinator
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
EZRA VIVEC NETHRUNIL
Adult Companion
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GERALDINE KATHY VAN BUSKIRK
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GLORIA WILLIS
Social Worker
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
ALVIN RUSSELL
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
RAMON WILLIAM NEWELL QMHA
Counselor (Mental Health)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 238-0769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Nicholas's NPI number?

The NPI number for Jessica Nicholas is 1174127476. It was assigned to this individual provider in the NPPES registry on November 27, 2020.

Where is Jessica Nicholas located?

Jessica Nicholas practices at 5725 NE Prescott St, Portland, OR 97218. The listed phone number is (503) 548-8085.

What is Jessica Nicholas's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jessica Nicholas was last updated on November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.