Mr. Michael T McNicholas
Mr. Michael T McNicholas is a Massage Therapist in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
Practice location Address checks out
7052 SW Nyberg StTualatin, OR 97062-9231
Phone: (503) 766-3366
Fax: (503) 766-3366
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Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 17929 (OR) |
|---|
Record details
| NPI number | 1942567557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2012 |
| Last updated in NPPES | April 19, 2012 |
| Mailing address | 7052 Sw Nyberg St, Tualatin, OR 97062-9231 |
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