Kelly Ann Nickerson, RN, BSN - Registered Nurse in Damascus, OR

Kelly Ann Nickerson, RN, BSN is a Registered Nurse - Addiction (substance Use Disorder) based in Damascus, Oregon. Kelly Ann Nickerson is licensed to practice in Oregon (license number 201142980RN) and her current practice location is 15758 Se Highway 224 Unit 96, Damascus, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 421-8226.

NPI number for Kelly Ann Nickerson is 1235969742 and her current mailing address is 15758 Se Highway 224 Unit 96, Damascus, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235969742.

Contact Information

Kelly Ann Nickerson, RN, BSN
15758 Se Highway 224 Unit 96,
Damascus, OR 97089-8410
(503) 421-8226
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Nickerson
GenderFemale
SpecialityRegistered Nurse - Addiction (substance Use Disorder)
Location15758 Se Highway 224 Unit 96, Damascus, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235969742
  • Provider Enumeration Date: 08/07/2024
  • Last Update Date: 08/07/2024

Medical Identifiers

Medical identifiers for Kelly Ann Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235969742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 201142980RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ann Nickerson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ann Nickerson, RN, BSN
15758 Se Highway 224 Unit 96,
Damascus, OR 97089-8410

Ph: (503) 421-8226
Kelly Ann Nickerson, RN, BSN
15758 Se Highway 224 Unit 96,
Damascus, OR 97089-8410

Ph: (503) 421-8226

Reviews and Comments


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