Nicholas Michael Fairall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

29286 Issued in OR

Practice address

9375 SW Commerce Cir Ste A1
Wilsonville, OR 97070-9630

Phone

(503) 582-9200

NPI assigned

Sep 30, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Care Chiropractic PC

  • Preferred Provider Organization
  • Wilsonville, OR
  • NPI 1093984668
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1053285304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 SW TUCKER AVE APT 425",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SW COMMERCE CIR STE A1",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709630",
            "telephone_number": "503-582-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRALL",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Plahuta Ewing, APN-CFNP
• Exiges Imaging, LLC
• Exiges Lab, LLC
• Exiges Ultrasound, LLC
• Eye Health Northwest, P.C.
• Emery James Fairchild, PTA
• Debra Farr, RPH.,BS PHARM. MTMCP
• Stephen Fekete, D.P.M.
• Darien Stephen Fenn, PHD
• Cheryl D Ferreira, LCMHC

• Massage Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.