Johnnie San Nicolas - Portland, OR

Johnnie San Nicolas

Massage Therapist in Portland, Oregon

NPI 1760079347

Johnnie San Nicolas is a Massage Therapist based in Portland, OR. Johnnie San Nicolas practices in Portland, OR. The NPI Number for Johnnie San Nicolas is 1760079347 and holds a License No. 26117 (Oregon).

The current practice location address for Johnnie San Nicolas is 3241 Ne Broadway St, Portland, OR and can be reached out via phone at 503-282-8582.

Location: 3241 Ne Broadway St, Portland, OR, 97232-1814

NPI Number

1760079347

Provider Name

Johnnie San Nicolas

Credential

Provider Entity Type

Individual

Gender

Male

Address

3241 Ne Broadway St, Portland, OR, 97232-1814

Phone Number

503-282-8582

Fax Number

Provider Enumeration Date

12/29/2020

Last Update Date

03/10/2024

Address

3241 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1814

Phone Number

503-282-8582

Fax Number

Address

3241 Ne Broadway St

City

Portland

State

Oregon

Zip

97232-1814

Phone Number

503-282-8582

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

26117 (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.

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.