Mcnicholas, Michael T

Mcnicholas, Michael T is an individual health care provider with primary practice located at 7052 Sw Nyberg St , Tualatin OR 97062-9231. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mcnicholas, Michael T can be contacted via phone (503) 766-3366.

Contact Information

Primary practice address
7052 Sw Nyberg St Tualatin OR 97062-9231
Phone: (503) 766-3366
Fax: (503) 766-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 17929 Oregon

Profile Details

NPI number 1942567557
LBN Legal business name Mcnicholas, Michael T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Apr 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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