Individual
JINAE LYNN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2205 N LOMBARD ST # 100, PORTLAND, OR 97217-5770
(503) 893-4407
Mailing address
5131 N WILLIAMS AVE, PORTLAND, OR 97217-2836
(469) 207-9044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28533
OR
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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