person
Joshua Phillip Nickelsen
Massage Therapist in Portland, Oregon
NPI 1942964838

Joshua Phillip Nickelsen is a Massage Therapist based in Portland, OR. Joshua Phillip Nickelsen practices in Portland, OR. The NPI Number for Joshua Phillip Nickelsen is 1942964838 and holds a License No. 26433 (Oregon).

The current practice location address for Joshua Phillip Nickelsen is 3630 Se Cesar E Chavez Blvd Apt 11, Portland, OR and can be reached out via phone at 917-617-4741.

Location: 3630 Se Cesar E Chavez Blvd Apt 11, Portland, OR, 97202-1700
person
Provider Profile Details
NPI Number
1942964838
Provider Name
Joshua Phillip Nickelsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
3630 Se Cesar E Chavez Blvd Apt 11, Portland, OR, 97202-1700
Phone Number
917-617-4741
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3630 Se Cesar E Chavez Blvd Apt 11
City
State
Zip
97202-1700
Phone Number
917-617-4741
Fax Number
person
Provider Business Mailing Address Details
Address
3630 Se Cesar E Chavez Blvd Apt 11
City
State
Zip
97202-1700
Phone Number
917-617-4741
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
26433 (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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