Mr. NICHOLAS BRADSHAW -- MT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1245785500- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MT
- Status
- Active
Contact & Location
- Address
- 4200 MERCANTILE DR SUITE 750, LAKE OSWEGO, OR, 970353597
- Phone
- (503) 305-7762
- Fax
- (503) 387-5148
Specialties & Taxonomies
Massage Therapist
Primary License: OR #21969