Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Mark Maxwell, LMT

Individual provider Massage Therapist · NPI 1477136455

Nicholas Mark Maxwell, LMT is a Massage Therapist in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

5300 NE 73rd Ave
Portland, OR 97218-3717
Phone: (512) 293-7721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1421 Se Ankeny St, Portland, OR 97214-1471 — (503) 284-6996

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 26275 (OR)

Record details

NPI number1477136455
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

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