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Contact Information

SYRENA NICHOLSON, LMT
7721 SE 92ND AVENUE
APT K
PORTLAND, OR97266
 Phone: 415-672-1319
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for SYRENA NICHOLSON · (Female)

NPI # 1407247927
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/06/2015
Last updated 02/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 20848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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