Individual
MR. NICHOLAS BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
4200 MERCANTILE DR, SUITE 750, LAKE OSWEGO, OR 97035-3597
(503) 305-7762
(503) 387-5148
Mailing address
4200 MERCANTILE DR, SUITE 750, LAKE OSWEGO, OR 97035-3597
(503) 305-7762
(503) 387-5148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21969
OR
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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