- Practice location
- 8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742
- Phone
- 503-438-5472
- Fax
- —
- Last updated
- December 1, 2016
Nicole Agazarm is a Massage Therapist based in Portland, OR. Nicole Agazarm practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Nicole Agazarm is 1467995977 and holds a License No. 22872 (OR). The current practice location address for Nicole Agazarm is 8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742 and can be reached out via phone at 503-438-5472.
Provider Profile Details
- NPI Number
- 1467995977
- Provider Name
- Nicole Agazarm
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742
- Phone Number
- 503-438-5472
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2016
- Last Update Date
- December 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8752 N Columbia Blvd Apt 4
Portland, OR 97203-6742 - City
- Portland
- State
- Oregon
- Zip
- 97203-6742
- Phone Number
- 503-438-5472
Provider Business Mailing Address Details
- Address
- 8752 N Columbia Blvd Apt 4
Portland, OR 97203-6742 - City
- Portland
- State
- OR
- Zip
- 97203-6742
- Phone Number
- 503-438-5472
License Information
- License Number
- 22872
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole Agazarm, LMT?
The NPI number of Nicole Agazarm, LMT is 1467995977. It was assigned on December 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Nicole Agazarm, LMT?
Nicole Agazarm, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 22872.
Where does Nicole Agazarm, LMT practice?
The practice location is 8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742. The office can be reached at 503-438-5472 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467995977 directly on the NPPES registry website.