MR. Nicholas Bradshaw, MT

NPI #1245785500 in Lake Oswego, Oregon

Provider Information

NPI Number: 1245785500
Entity Type: Individual
Name: MR. Nicholas Bradshaw, MT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Aug 16, 2016
Last Updated: Aug 16, 2016

Practice Location

Address: 4200 MERCANTILE DR
Address 2: SUITE 750
City: Lake Oswego
State: Oregon
ZIP Code: 97035-3597
Phone: (503) 305-7762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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