DR. JEFFREY NICHOLSON
NPI 1720027485
Dentist - General Practice in Portland, OR

Q: What is Jeffrey Nicholson's NPI number?

The NPI number for Jeffrey Nicholson is 1720027485. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Jeffrey Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Nicholson was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 06, 2006

4413 SE 39TH AVE, PORTLAND, OR 97202(503) 777-2284 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffrey Nicholson NPPES

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

DR. JEFFREY NICHOLSON (NPI 1720027485) is an individual general practice provider in Portland, Oregon, licensed in Oregon (6372) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1720027485

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFREY NICHOLSON

Location Address4413 SE 39TH AVEPortland, OR 97202-3117

Mailing Address4413 Se 39th AvePortland, OR 97202-3117

Phone(503) 777-2284

Sole ProprietorNo

Enumeration DateJune 6, 2006

Last NPPES UpdateMay 9, 2008

✔ NPI 1720027485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 6372

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4413 SE 39TH AVE, Portland, OR 97202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

NW ASSETS, LLC

Dentist (General Practice)

4413 SE 39TH AVE
PORTLAND, OR 97202

Multnomah County (503) 777-2284

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 Jeffrey Nicholson's NPI number?

The NPI number for Jeffrey Nicholson is 1720027485. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Jeffrey Nicholson located?

Jeffrey Nicholson practices at 4413 SE 39th Ave, Portland, OR 97202. The listed phone number is (503) 777-2284.

What is Jeffrey Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jeffrey Nicholson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jeffrey Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Nicholson was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.