Nicholas Wilson

NPI #1215827886 in Beaverton, Oregon

Provider Information

NPI Number: 1215827886
Entity Type: Organization
Organization Name: Nicholas Wilson
Primary Specialty: Massage Therapist
Enumeration Date: Jul 7, 2025
Last Updated: Jul 7, 2025

Practice Location

Address: 10445 SW CANYON RD STE 103
City: Beaverton
State: Oregon
ZIP Code: 97005-1913
Phone: (503) 764-7595

Authorized Official

Name: NICHOLAS WILSON
Title: LMT
Phone: (503) 764-7595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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