Nicholas Michael Fairall, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1053285304
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 29286 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2025-09-30
- Last updated
- 2025-09-30
Practice location
9375 Sw Commerce Cir Ste A1
Wilsonville, OR 97070-9630
(503) 582-9200