Individual
MR. NICHOLAS BLAKE DEMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 SW SUNSET BLVD STE 2G, PORTLAND, OR 97239-2690
(503) 354-7100
Mailing address
1509 SW SUNSET BLVD STE 2G, PORTLAND, OR 97239-2690
(503) 354-7100
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1129
OR
Other
Enumeration date
06/17/2011
Last updated
11/13/2025
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