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

Nicholas Michael Fairall, LMT

Individual provider Massage Therapist · NPI 1053285304

Nicholas Michael Fairall, LMT is a Massage Therapist in Wilsonville, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630
Phone: (503) 582-9200
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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 29286 (OR)

Record details

NPI number1053285304
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address4820 Sw Tucker Ave Apt 425, Beaverton, OR 97005-2888

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