RUSSEL NICHOLS MD PC NPI 1609874247

NPI Information

  • NPI: 1609874247
  • Provider Name: RUSSEL NICHOLS, MD, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 135 FORD RD
    JOHN DAY, OR
    ZIP 97845
  • Phone: (541) 575-2669

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NPI Details

RUSSEL NICHOLS, MD, PC is a family medicine in John Day, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUSSEL NICHOLS, MD, PC NPI is 1609874247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 FORD RD
JOHN DAY, OR
ZIP 97845-010
Phone: (541) 575-2669
Fax: (541) 575-2743

The provider's authorized official is Russel James Nichols .
The authorized official title is Owner and has the following contact phone number (541) 575-2669.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 8/22/2020.

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
1207Q00000XFamily MedicineMD22062OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14532990001OTHERNSC/DME
2MD00039026OTHERWASHINGTONWA LICENSE NUMBER
3287633MEDICAIDOREGON

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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