NICOLE GRACE WHISKEYJACK CRM
NPI 1841809134
Prevention Professional in Pendleton, OR

Active since July 23, 2020
46314 TIMINE WAY, PENDLETON, OR 97801(541) 240-8740(541) 240-8754 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2023, Jul 23, 2020 (2 updates tracked since 2020).

About Nicole Grace Whiskeyjack Crm NPPES

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

NICOLE GRACE WHISKEYJACK CRM (NPI 1841809134) is an individual prevention professional provider in Pendleton, Oregon, licensed in Oregon (20-CRM-173) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1841809134
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameNICOLE GRACE WHISKEYJACKCredential: CRM
Location Address46314 TIMINE WAYPendleton, OR 97801-9417
Mailing AddressPo Box 160Pendleton, OR 97801-0160 · (541) 966-9830 · Fax (541) 240-8754
Fax(541) 240-8754
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
NPI 1841809134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License Licensed in OR · 20-CRM-173
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

46314 TIMINE WAY, Pendleton, OR 97801

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.

Peer Specialist
46314 TIMINE WAY
PENDLETON, OR 97801
Peer Specialist
46314 TIMINE WAY
PENDLETON, OR 97801
Registered Nurse
46314 TIMINE WAY
PENDLETON, OR 97801
Pharmacist
46314 TIMINE WAY
PENDLETON, OR 97801
Registered Nurse
46314 TIMINE WAY
PENDLETON, OR 97801
Counselor (Addiction (Substance Use Disorder))
46314 TIMINE WAY
PENDLETON, OR 97801
Physical Therapy Assistant
46314 TIMINE WAY
PENDLETON, OR 97801
Counselor (Mental Health)
46314 TIMINE WAY
PENDLETON, OR 97801

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 Whiskeyjack's NPI number?

The NPI number for Nicole Whiskeyjack is 1841809134. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Nicole Whiskeyjack located?

Nicole Whiskeyjack practices at 46314 Timine Way, Pendleton, OR 97801. The listed phone number is (541) 240-8740.

What is Nicole Whiskeyjack's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Nicole Whiskeyjack was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.