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Niema Wilson, LMT
Massage Therapist in Portland, Oregon
NPI 1912401134

Niema Wilson is a Massage Therapist based in Portland, OR. Niema Wilson practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Niema Wilson is 1912401134 and holds a License No. 24018 (Oregon).

The current practice location address for Niema Wilson is 1216 Nw 21St Ave, Portland, OR and can be reached out via phone at 503-662-2490.

Location: 1216 Nw 21St Ave, Portland, OR, 97214-5246
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Provider Profile Details
NPI Number
1912401134
Provider Name
Niema Wilson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1216 Nw 21St Ave, Portland, OR, 97214-5246
Phone Number
503-662-2490
Fax Number
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1216 Nw 21St Ave
City
State
Zip
97209-1609
Phone Number
503-662-2490
Fax Number
person
Provider Business Mailing Address Details
Address
1216 Nw 21St Ave
City
State
Zip
97209-1609
Phone Number
503-662-2490
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
24018 (Oregon)
Definition
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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