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DR. NICOLE MARIE WILSON D.C.
NPI 1891929923
Chiropractor in Portland, OR

Active since May 04, 2009
1411 NW RALEIGH STREET, PORTLAND, OR 97209(503) 803-2208 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Marie Wilson D.c. NPPES

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

DR. NICOLE MARIE WILSON D.C. (NPI 1891929923) is an individual chiropractor in Portland, Oregon, licensed in Oregon (3914) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1891929923
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICOLE MARIE WILSONCredential: D.C.
Location Address1411 NW RALEIGH STREETPortland, OR 97209-2573
Mailing Address1411 Nw Raleigh StreetPortland, OR 97209-2573 · (503) 803-2208
Phone(503) 803-2208
Sole ProprietorYes
Enumeration DateMay 4, 2009
Last NPPES UpdateMarch 16, 2012
✔ NPI 1891929923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 3914
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1411 NW RALEIGH STREET, Portland, OR 97209
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Other Names 1

Former Name (1)Nicole Marie Stills Dc

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 Wilson's NPI number?

The NPI number for Nicole Wilson is 1891929923. It was assigned to this individual provider in the NPPES registry on May 4, 2009. The provider is also known as Nicole Marie Stills Dc.

Where is Nicole Wilson located?

Nicole Wilson practices at 1411 NW Raleigh Street, Portland, OR 97209. The listed phone number is (503) 803-2208.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.