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NICOLE JENNYS MEDINA NONE
NPI 1770612533
Case Manager/Care Coordinator in Tigard, OR

Active since March 05, 2007
12450 SW FISCHER RD UNIT 225, TIGARD, OR 97224(503) 516-9172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Jennys Medina None NPPES

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

NICOLE JENNYS MEDINA NONE (NPI 1770612533) is an individual case manager/care coordinator provider in Tigard, Oregon and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770612533
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNICOLE JENNYS MEDINACredential: NONE
Location Address12450 SW FISCHER RD UNIT 225Tigard, OR 97224-2378
Mailing Address12450 Sw Fischer Rd Unit 225Tigard, OR 97224-2378 · (503) 516-9172
Phone(503) 516-9172
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770612533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
12450 SW FISCHER RD UNIT 225, Tigard, OR 97224
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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 Medina's NPI number?

The NPI number for Nicole Medina is 1770612533. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Nicole Medina located?

Nicole Medina practices at 12450 SW Fischer Rd Unit 225, Tigard, OR 97224. The listed phone number is (503) 516-9172.

What is Nicole Medina's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicole Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.