MR. Nicholas Revilla
NPI #1659001782 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1659001782
- Entity Type
- Individual
- Name
- MR. Nicholas Revilla
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 13, 2022
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 10151 SE SUNNYSIDE RD STE 480
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97015-5705
- Phone
- (503) 739-8321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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