EVERETT NICOLAI

TIGARD, OR
NPI1639263718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  64923)
Additional Taxonomies225100000X Physical Therapist
(Licence: WA  00010235)
Enumeration Date2006-10-03
Last Update Date2023-07-31
Business Address
Mr. EVERETT NICOLAI DPT
9735 SW SHADY LN STE 203
TIGARD, OR 97223-5481
Phone number: 503-223-1856
Mailing Address
Mr. EVERETT NICOLAI DPT
9735 SW SHADY LN STE 203
TIGARD, OR 97223-5481
Phone number: 503-223-1856