Joshua Phillip Nickelsen
Joshua Phillip Nickelsen is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
3630 SE Cesar E Chavez Blvd Apt 11Portland, OR 97202-1700
Phone: (917) 617-4741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 26433 (OR) |
|---|
Record details
| NPI number | 1942964838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2021 |
| Last updated in NPPES | October 26, 2021 |
| Certification date | October 26, 2021 |
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