Michael B Nicholes, L.M.T.

NPI #1205264793 in Clackamas, Oregon

Provider Information

NPI Number
1205264793
Entity Type
Individual
Name
Michael B Nicholes, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T.
Enumeration Date
Oct 22, 2013
Last Updated
Oct 22, 2013

Practice Location

Address
8810 SE SUNNYBROOK BLVD
Address 2
STE #100
State
Oregon
ZIP Code
97015-6843
Phone
(503) 607-2226

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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