Individual
MR. EVERETT NICOLAI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9735 SW SHADY LN STE 203, TIGARD, OR 97223-5481
(503) 223-1856
(503) 223-1765
Mailing address
9735 SW SHADY LN STE 203, TIGARD, OR 97223-5481
(503) 223-1856
(503) 223-1765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00010235
WA
225100000X
Physical Therapist
Primary
64923
OR
Other
Enumeration date
10/03/2006
Last updated
07/31/2023
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