Jacob Nickerson LMT

  • NPI 1205390671
According to our database, the NPI number for Jacob Nickerson LMT is 1205390671 and activated since 5 years ago. Jacob Nickerson LMT is an individual provider who specializes in Massage Therapist, and the primary practice location is 4305 Se Ellis St, Portland, OR 97206. You can also contact Jacob Nickerson LMT via telephone number is (360) 672-1811. Provider NPI information was last updated on 01/29/2019.

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Overview of Jacob Nickerson LMT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/29/2019
  • Last updated: 01/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 24524
  • License State: OR

Provider Mailing Address

  • Address: 4305 Se Ellis St
    Portland, OR 97206
  • Phone: 360-672-1811
  • Fax:

Provider Practice Location

  • Address: 4305 Se Ellis St
    Portland, OR 97206
  • Phone: 360-672-1811
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: 24524
  • License State: OR
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacob Nickerson LMT?
  • A: The npi number for Jacob Nickerson LMT is 1205390671.
  • Q: What are Jacob Nickerson LMT's specialties?
  • A: Jacob Nickerson LMT's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for Jacob Nickerson LMT?
  • A: The medical license number for Jacob Nickerson LMT is 24524 and issued in OR in USA.
  • Q: Where is Jacob Nickerson LMT practice location?
  • A: Jacob Nickerson LMT is practicing at 4305 Se Ellis St, Portland, OR 97206.
  • Q: How to contact Jacob Nickerson LMT?
  • A: You can contact Jacob Nickerson LMT via 360-672-1811.