NPI 1467995977 · live from the CMS NPI Registry
Nicole Agazarm, LMT
Massage Therapist in Portland, OR. National Provider Identifier 1467995977, active.
NPI record
| NPI | 1467995977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 8752 N Columbia Blvd Apt 4, Portland, OR 97203 |
| Practice phone | 503-438-5472 |
| Enumerated | December 1, 2016 |
| Last updated | December 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 22872 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.