Individual provider · Type 1 NPI

Nicola Stackhouse, LMT

Specialist · Portland, OR

NPI number 1487048286 Active

Practice location

10989 NW Appellate Way
Portland, OR 97229-8815

Call (503) 784-6013 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X20999 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487048286

Nicola Stackhouse, LMT's National Provider Identifier is 1487048286, issued on Mar 19, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2015.