Organization
OREGON MASSAGE & LYMPHEDEMA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA LYNN NIELSON LMT (OWNER-MANAGER)
(503) 318-6799
Entity
Organization
Contact information
Practice address
366 SOUTH BROADWAY, BOX 1427, ESTACADA, OR 97023-1427
(503) 318-6799
(503) 630-4776
Mailing address
366 SOUTH BROADWAY, ESTACADA, OR 97023-1427
(503) 318-6799
(503) 630-4776
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
14141
OR
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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