Nickolas Eugene Green

NPI #1578131421 in Oak Harbor, Washington

Provider Information

NPI Number: 1578131421
Entity Type: Organization
Organization Name: Nickolas Eugene Green
Primary Specialty: Massage Therapist
Enumeration Date: Jun 16, 2021
Last Updated: Oct 4, 2023

Practice Location

Address: 520 E WHIDBEY AVE STE 103
City: Oak Harbor
State: Washington
ZIP Code: 98277-5921
Phone: (253) 223-4128

Authorized Official

Name: NICKOLAS EUGENE GREEN
Title: OWNER
Phone: (253) 223-4128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Massage Therapist	225700000X	Primary

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