Individual provider · Type 1 NPI

Pake R. Nielson, LMT

Massage Therapist · Portland, OR

NPI number 1750068920 Active

Practice location

7318 N Leavitt Ave
Portland, OR 97203-4840

Call (503) 567-5880 Map

Fax (866) 629-1294

Mailing address

8532 N Ivanhoe St Ste 201
Portland, OR 97203-4827

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27782 (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 1750068920

Pake R. Nielson, LMT's National Provider Identifier is 1750068920, issued on Jun 29, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 23, 2025.