# NICKOLAS EUGENE GREEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ohm Massage & Body Work
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578131421
- **Authorized official:** NICKOLAS EUGENE GREEN (OWNER)
- **Authorized official phone:** (253) 223-4128

## Contact information

- **Practice address:** 520 E WHIDBEY AVE STE 103, OAK HARBOR, WA 98277-5921
- **Practice address phone:** (253) 223-4128
- **Mailing address:** 1090 SE PIONEER WAY UNIT 102, OAK HARBOR, WA 98277-5743
- **Mailing address phone:** (253) 223-4128
- **Mailing address fax:** (360) 323-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | Yes |
| 225700000X | Massage Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 10/04/2023