Nicholas Defelice, MD

NPI #1144809567 in Beaverton, Oregon

Provider Information

NPI Number: 1144809567
Entity Type: Individual
Name: Nicholas Defelice, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 4, 2021
Last Updated: Sep 13, 2025

Practice Location

Address: 4855 SW WESTERN AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-3460
Phone: (800) 813-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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