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1013375567
NICHOLAS K SWEET
TIGARD, OR
NPI
1013375567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
225700000X Massage Therapist
(Licence: OR 20953)
Enumeration Date
2016-01-28
Last Update Date
2022-08-09
Business Address
NICHOLAS K SWEET PA
16083 SW UPPER BOONES FERRY RD
TIGARD, OR 97224-7736
Phone number: 503-603-9087
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Mailing Address
NICHOLAS K SWEET PA
6339 SW 153RD AVE
BEAVERTON, OR 97007-5053
Phone number: 503-780-3003
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