Nicholas Mark Maxwell, LMT - Portland, OR

Nicholas Mark Maxwell, LMT

Massage Therapist in Portland, Oregon

NPI 1477136455

Nicholas Mark Maxwell is a Massage Therapist based in Portland, OR. Nicholas Mark Maxwell practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Nicholas Mark Maxwell is 1477136455 and holds a License No. 26275 (Oregon).

The current practice location address for Nicholas Mark Maxwell is 5300 Ne 73Rd Ave, Portland, OR and can be reached out via phone at 512-293-7721.

Location: 5300 Ne 73Rd Ave, Portland, OR, 97218-3717

NPI Number

1477136455

Provider Name

Nicholas Mark Maxwell

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

5300 Ne 73Rd Ave, Portland, OR, 97218-3717

Phone Number

512-293-7721

Fax Number

Provider Enumeration Date

04/28/2021

Last Update Date

03/10/2024

Address

5300 Ne 73Rd Ave

City

Portland

State

Oregon

Zip

97218-3717

Phone Number

512-293-7721

Fax Number

Address

5300 Ne 73Rd Ave

City

Portland

State

Oregon

Zip

97218-3717

Phone Number

512-293-7721

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

26275 (Oregon)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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