Massage Therapist

Address: 5300 Ne 73rd Ave, Portland, OR 97218-3717

NICHOLAS MARK MAXWELL (NPI# 1477136455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477136455
Entity Type Individual
Gender Male
Credential LMT
Practice Address 5300 Ne 73rd Ave
OR 97218-3717
Practice Telephone 5122937721
Mailing Address 5300 Ne 73rd Ave
OR 97218-3717
Mailing Telephone 5122937721
Certification Date 2021-04-28
Enumeration Date 2021-04-28
Last Update Date 2021-04-28
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 225700000X Massage Therapist 26275 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
1421 Se Ankeny St, Portland, OR 972141471 5032846996

Office Location

Street Address 5300 NE 73RD AVE
State OR
Zip Code 97218-3717

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1902041460 Brandi Danielle Hess Counselor 4450 Ne 76th, Portland, OR 97218 2008-12-11
1386962074 Kathleen Kuhlmey Sheridan · Kathleen Joan Sheridan Nurse Practitioner - Psych/Mental Health 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
1538589213 Jennifer G Marino · Jennifer Genese Marino Adult Companion 5023 Ne Killingsworth, Portland, OR 97218 2014-04-22
1093266405 Jean Hansen Counselor - Addiction (Substance Use Disorder) 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1396980751 Jamie Mercile Taylor Counselor - Addiction (Substance Use Disorder) 4310 N.e Kilingsworth, Portland, OR 97218 2008-12-12
1952425647 Monica L Brown Counselor - Addiction (Substance Use Disorder) 4310 Ne Killingsworth Street, Portland, OR 97218 2007-03-19
1932250719 Crc Health Oregon, LLC · Allied Health Services East Clinic/Center - Methadone Clinic 6601 Ne 78th Court, Ste A3, Portland, OR 97218 2007-01-16
1003049909 Kevin Richardson Adult Companion 5029 Ne Killingsworth St, Portland, OR 97218 2009-08-26
1952760670 Michelle Nicole Lynch Peer Specialist 4310 Ne Killingsworth Street, Depaul Treatment Centers, Portland, OR 97218 2016-02-23
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
Find all in zip 97218

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013590017 Pnw Massage and Acupuncture LLC Massage Therapist 736 Se 60th Ave, Portland, OR 97215-1906 2021-04-28
1245812544 Emanuel Lopez Massage Therapist 1260 Se Lambert St Apt 208, Portland, OR 97202-6386 2021-04-26
1326629023 Kerri Holler Massage Therapist 6645 Sw Terri Ct Apt 41, Portland, OR 97225-1054 2021-04-15
1437730025 Kristin N Bradley Massage Therapist 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 2021-04-15
1083293211 Sonja Hortence Corzano Massage Therapist 4415 Ne Sandy Blvd Ste 207, Portland, OR 97213-1400 2021-04-05
1144807926 Sequoia Moon Ruble Massage Therapist 4400 Se Naef Rd Apt A13, Portland, OR 97267-4904 2021-03-26
1558947309 Elizabeth Karambelas Massage Therapist 2306 Ne Glisan St Ste 102, Portland, OR 97232-2392 2021-03-22
1053997015 Ashley Godfrey-O'Neal Massage Therapist 13112 Ne Halsey St, Portland, OR 97230-2350 2021-03-21
1194301259 Iqbal Kana Massage Therapist 630 Sw Alder St, Portland, OR 97205-3616 2021-03-19
1629663422 Kelly Lynn Jordan Massage Therapist 2304 E Burnside St Ste 1, Portland, OR 97214-1677 2021-03-03
Find all providers in PORTLAND


Search similar providers

Zip Code 97218

Providers with similar names

NPI Name Taxonomy Address Enumeration
1649864935 Mark Nicholas Alshak Student in an Organized Health Care Education/Training Program 1713 Angelo Dr, Beverly Hills, CA 90210-2721 2021-02-26
1376145342 Mark Nicholas O'Connor Behavior Technician 41-611 Inoaole St. Waimanalo, Waimanalo, HI 96795 2020-11-13
1578148128 Patricia Maxwell Community Health Worker 655 Huff Young Road, Lost Creek, WV 26385 2021-03-16
1194325365 Maxwell Moore Chiropractor 884 Portola Rd Ste A5, Portola Valley, CA 94028-7265 2020-10-28
1215480181 Charles I. Maxwell Emergency Medicine 1120 15th St., Auguata, GA 30912-0004 2016-07-27
1881295194 Morgan Maxwell Physical Therapy Assistant 5800 River Rd Apt 602, Nashville, TN 37209-5658 2020-11-03
1407438609 Jessica Maxwell Physical Therapist 100 College Pkwy Ste 101, Williamsville, NY 14221-6885 2021-04-27
1881130177 Tyler Maxwell Specialist/Technologist - Athletic Trainer 119 N. Woodberry Rd., Burrton, KS 67020 2017-01-11
1487728945 Darlene Maxwell Licensed Practical Nurse 27800 Sidney, Cuclid, OH 44132 2006-11-17
1346821691 James Nmn Maxwell IIi Licensed Practical Nurse 1134 Coral Bay, San Antonio, TX 78251-4069 2021-04-19

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.