Individual provider · Type 1 NPI

Jinae Lynn Nielsen, LMT

Massage Therapist · Portland, OR

NPI number 1689491896 Active

Practice location

2205 N Lombard St # 100
Portland, OR 97217-5770

Call (503) 893-4407 Map

Mailing address

5131 N Williams Ave
Portland, OR 97217-2836

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28533 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1689491896

Jinae Lynn Nielsen, LMT's National Provider Identifier is 1689491896, issued on Sep 20, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 20, 2024.