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

Q: 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.

Q: What is Nicole Whiskeyjack's specialty?

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

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: August 16, 2026.

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

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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

Phone(541) 240-8740

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

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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.

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