Gracelyn N Nickerson, PSS

NPI #1245021971 in Newport, Oregon

Provider Information

NPI Number: 1245021971
Entity Type: Individual
Name: Gracelyn N Nickerson, PSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PSS
Enumeration Date: May 13, 2025
Last Updated: May 13, 2025

Practice Location

Address: 547 SW 7TH ST
City: Newport
State: Oregon
ZIP Code: 97365-4909
Phone: (541) 574-9570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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