# LEG UP LYMPHEDEMA CARE PLLC

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

## Provider details

- **NPI number:** 1639841588
- **Authorized official:** DOUGLAS VARENAS OTR/L (PROPRIETOR)
- **Authorized official phone:** (503) 295-3602

## Contact information

- **Practice address:** 611 W 32ND ST, VANCOUVER, WA 98660-2163
- **Practice address phone:** (503) 295-3602
- **Mailing address:** 611 W 32ND ST, VANCOUVER, WA 98660-2163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021