Individual
MASAMI NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2286 OAKMONT WAY, EUGENE, OR 97401-5519
(541) 484-5777
(541) 284-2704
Mailing address
1355 FIR ACRES DR, EUGENE, OR 97401-1812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21927
OR
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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