Individual provider · Type 1 NPI

Mykola Nikolaiev, LMT

Massage Therapist · Portland, OR

NPI number 1033066196 Active

Practice location

11510 SE Stark St
Portland, OR 97216-3356

Call (503) 261-8121 Map

Fax (503) 512-5384

Mailing address

9009 SE Causey Ave Apt J27
Happy Valley, OR 97086-2657

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29382 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1033066196

Mykola Nikolaiev, LMT's National Provider Identifier is 1033066196, issued on Mar 16, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 16, 2026.