NICOLE SPREADBOROUGH NPI 1376833012

NPI Information

  • NPI: 1376833012
  • Provider Name: NICOLE SPREADBOROUGH
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2542 NE COURTNEY DR
    BEND, OR
    ZIP 97701
  • Phone: (541) 706-2768

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NPI Details

Nicole Spreadborough is a professional counselor in Bend, OR. Nicole Spreadborough NPI is 1376833012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2542 NE COURTNEY DR
BEND, OR
ZIP 97701-685
Phone: (541) 706-2768
Fax: (541) 706-4760

The NPI 1376833012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalC3071OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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