Individual
MYKOLA NIKOLAIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11510 SE STARK ST, PORTLAND, OR 97216-3356
(503) 261-8121
(503) 512-5384
Mailing address
9009 SE CAUSEY AVE APT J27, HAPPY VALLEY, OR 97086-2657
(503) 261-8121
(503) 512-5384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29382
OR
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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