NPI 1023340817

Blaire M Nichols, LMT

Practitioner Reflexologist Milwaukie, OR

Practice location

Address: 5111 SE Lake Rd, Milwaukie, OR 97222-4767
Phone: (503) 659-5900

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 12271 (OR)

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Registry record

NPI: 1023340817
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2010
Record last updated: 4 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.