Active NPIIndividual provider

Nicole Agazarm, LMT

Massage Therapist in Portland, Oregon

NPI Number1467995977
Practice location
8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742
Fax
—
Last updated
December 1, 2016

Nicole Agazarm, LMT is a Massage Therapist based in Portland, OR. Nicole Agazarm, LMT holds the professional credentials of LMT. The NPI number for Nicole Agazarm, LMT is 1467995977 and holds license No. 22872 (OR). The current practice location address is 8752 N Columbia Blvd Apt 4, Portland, OR 97203-6742 and the office can be reached by phone at 503-438-5472. The NPI was assigned on December 1, 2016 and the record was last updated in NPPES on December 1, 2016.

●Provider Profile Details

NPI Number
1467995977
Provider Name
Nicole Agazarm
Credential
LMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Enumeration Date
December 1, 2016
Last Update Date
December 1, 2016
NPI Status
Active

◉Business Practice Location Address

Address
8752 N Columbia Blvd Apt 4
Portland, OR 97203-6742
State
Oregon
ZIP
97203-6742
Country
US
Phone Number
503-438-5472

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✉Business Mailing Address

Address
8752 N Columbia Blvd Apt 4
Portland, OR 97203-6742
City
Portland
State
OR
ZIP
97203-6742
Phone Number
503-438-5472

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes22872OR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 22872 (OR).

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 at npiregistry.cms.hhs.gov.

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