Individual
LISA NIELSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2167 NW 185TH AVE, HILLSBORO, OR 97124-7074
(503) 386-5322
Mailing address
6500 SW SCHOLLS FERRY RD APT 4, PORTLAND, OR 97223-7177
(503) 713-3015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26741
OR
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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