NICHOLAS MICHAEL FAIRALL LMT NPI 1053285304

NPI Information

  • NPI: 1053285304
  • Provider Name: NICHOLAS MICHAEL FAIRALL, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 9375 SW COMMERCE CIR STE A1
    WILSONVILLE, OR
    ZIP 97070
  • Phone: (503) 582-9200

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NPI Details

Nicholas Michael Fairall, LMT is a massage therapist in Wilsonville, OR. The provider is 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. Nicholas Michael Fairall, LMT NPI is 1053285304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9375 SW COMMERCE CIR STE A1
WILSONVILLE, OR
ZIP 97070-630
Phone: (503) 582-9200

The enumeration date for this NPI number is 9/30/2025 and was last updated on 9/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist29286OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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