# OREGON MASSAGE & LYMPHEDEMA CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134394489
- **Authorized official:** MS. TAMARA LYNN NIELSON LMT (OWNER-MANAGER)
- **Authorized official phone:** (503) 318-6799

## Contact information

- **Practice address:** 366 SOUTH BROADWAY, BOX 1427, ESTACADA, OR 97023-1427
- **Practice address phone:** (503) 318-6799
- **Practice address fax:** (503) 630-4776
- **Mailing address:** 366 SOUTH BROADWAY, ESTACADA, OR 97023-1427
- **Mailing address phone:** (503) 318-6799
- **Mailing address fax:** (503) 630-4776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 14141 | OR | Yes |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 04/28/2008