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MS. NICOLE MARIE DESIDERATI RN PMHNP-BC
NPI 1558548370
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since January 23, 2008
10011 SE DIVISION ST, SUITE 203, PORTLAND, OR 97266(503) 255-2343(503) 255-2344 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Nicole Marie Desiderati Rn Pmhnp-bc NPPES

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

MS. NICOLE MARIE DESIDERATI RN PMHNP-BC (NPI 1558548370) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201350103NP) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1558548370
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. NICOLE MARIE DESIDERATICredential: RN PMHNP-BC
Location Address10011 SE DIVISION ST, SUITE 203Portland, OR 97266-1351
Mailing AddressPo Box 16308Portland, OR 97292-0308 · (503) 255-2343 · Fax (503) 255-2344
Phone(503) 255-2343
Fax(503) 255-2344
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
Last NPPES UpdateDecember 17, 2014
✔ NPI 1558548370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 201350103NP
10011 SE DIVISION ST, Portland, OR 97266
Open in Google Maps ↗

Other Identifiers 3

Medicaid22959OR
Medicaid096511OR
Medicare OSCAR/certificationR0000WCJHTOR

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.

DR. TROY WILLIAM SALING D.C.
Chiropractor
10011 SE DIVISION ST, SUITE 205
PORTLAND, OR 97266
Multnomah County (503) 256-2654
DR. NORBERT EDWIN ANDREW HUNTLEY D.C.
Chiropractor
10011 SE DIVISION ST, SUITE 206
PORTLAND, OR 97266
Multnomah County (503) 257-5900
CENTER FOR BRAIN-WISE LIVING
Community/Behavioral Health
10011 SE DIVISION ST, SUITE 312
PORTLAND, OR 97266
Multnomah County (360) 601-6859
MS. DESTINY MARIE BANKHEAD MS, LPSC
Counselor (Mental Health)
10011 SE DIVISION ST, SUITE # 305
PORTLAND, OR 97266
Multnomah County (503) 335-5975
JULIE MARIE HAYNES LCSW
Social Worker (Clinical)
10011 SE DIVISION ST, STE 305
PORTLAND, OR 97266
Multnomah County (503) 335-5975
MS. LINDA M GOSSLING PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10011 SE DIVISION ST, SUITE 307
PORTLAND, OR 97266
Multnomah County (503) 467-7690
R. NATHANIEL WILSON-TRAISMAN
Counselor
10011 SE DIVISION ST, SUITE #305
PORTLAND, OR 97266
Multnomah County (503) 335-5975
MIRNA PANI
Counselor
10011 SE DIVISION ST, #305
PORTLAND, OR 97266
Multnomah County (503) 335-5975

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 Nicole Desiderati's NPI number?

The NPI number for Nicole Desiderati is 1558548370. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Nicole Desiderati located?

Nicole Desiderati practices at 10011 SE Division St Suite 203, Portland, OR 97266. The listed phone number is (503) 255-2343.

What is Nicole Desiderati's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nicole Desiderati was last updated on December 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.