Provider Demographics
NPI:1891943510
Name:NIGH-OHMAN, ELENA NIKOLE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:NIKOLE
Last Name:NIGH-OHMAN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26127 162ND AVE SE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98042-8265
Mailing Address - Country:US
Mailing Address - Phone:206-498-6115
Mailing Address - Fax:
Practice Address - Street 1:26127 162ND AVE SE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-8265
Practice Address - Country:US
Practice Address - Phone:206-498-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602663265174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist