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Mr. Michael T Mcnicholas
Massage Therapist in Tualatin, Oregon
NPI 1942567557

Michael T Mcnicholas is a Massage Therapist based in Tualatin, OR. Michael T Mcnicholas practices in Tualatin, OR. The NPI Number for Michael T Mcnicholas is 1942567557 and holds a License No. 17929 (Oregon).

The current practice location address for Michael T Mcnicholas is 7052 Sw Nyberg St, Tualatin, OR and can be reached out via phone at 503-766-3366 and via fax at 503-766-3366.

Location: 7052 Sw Nyberg St, Tualatin, OR, 97062-9231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942567557
Provider Name
Michael T Mcnicholas
Credential
Provider Entity Type
Individual
Gender
Male
Address
7052 Sw Nyberg St, Tualatin, OR, 97062-9231
Phone Number
503-766-3366
Fax Number
503-766-3366
Provider Enumeration Date
04/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7052 Sw Nyberg St
City
Tualatin
State
Oregon
Zip
97062-9231
Phone Number
503-766-3366
Fax Number
503-766-3366
person
Provider Business Mailing Address Details
Address
7052 Sw Nyberg St
City
Tualatin
State
Oregon
Zip
97062-9231
Phone Number
503-766-3366
Fax Number
503-766-3366
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
17929 (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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