| Physician Last Name: | Nickels |
| Physician First Name: | Russell |
| Physician Middle Name: | |
| Address: | 430 Winchuck River Road
Brookings, Oregon 97415 |
| License Number: | 111959 |
| License Type: | MD |
| Year of Birth: |
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| Effective Date: | 03/03/1997 |
| Action Description for DOH Webpage: | License suspension for two years, stayed and required registration with New York State.The physician has satisfied the terms of the order. |
| Misconduct Description for DOH Webpage: | The physician admitted to having been disciplined by the California State Medical Board and the Ohio State Medical Board for falsely stating on his Oregon registration application that he completed the requisite hours of continuing medical education. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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