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MYKOLA NIKOLAIEV LMT
NPI 1033066196
Massage Therapist in Portland, OR

Active since March 16, 2026
11510 SE STARK ST, PORTLAND, OR 97216(503) 261-8121(503) 512-5384 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mykola Nikolaiev Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYKOLA NIKOLAIEV LMT (NPI 1033066196) is an individual massage therapist in Portland, Oregon, licensed in Oregon (29382) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1033066196
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMYKOLA NIKOLAIEVCredential: LMT
Location Address11510 SE STARK STPortland, OR 97216-3356
Mailing Address9009 Se Causey Ave Apt J27Happy Valley, OR 97086-2657 · (503) 261-8121 · Fax (503) 512-5384
Phone(503) 261-8121
Fax(503) 512-5384
Sole ProprietorYes
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1033066196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 29382
Definition
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.
11510 SE STARK ST, Portland, OR 97216
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY R RIVAS MD
Family Medicine
11510 SE STARK ST
PORTLAND, OR 97216
Multnomah County (503) 256-0636
ARTHUR RANDOLPH BULGER MD
Family Medicine
11510 SE STARK ST
PORTLAND, OR 97216
Multnomah County (503) 256-0636
ROBERTA ANNE BULGER MD
Family Medicine
11510 SE STARK ST
PORTLAND, OR 97216
Multnomah County (503) 256-0636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mykola Nikolaiev's NPI number?

The NPI number for Mykola Nikolaiev is 1033066196. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Mykola Nikolaiev located?

Mykola Nikolaiev practices at 11510 SE Stark St, Portland, OR 97216. The listed phone number is (503) 261-8121.

What is Mykola Nikolaiev's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mykola Nikolaiev was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.