OREGON MASSAGE & LYMPHEDEMA CLINIC LLC (NPI# 1134394489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134394489 |
| Entity Type | Organization |
| Organization Name | OREGON MASSAGE & LYMPHEDEMA CLINIC LLC |
| Practice Address |
366 South Broadway Box 1427 Estacada OR 97023-1427 |
| Mailing Address |
366 South Broadway Estacada OR 97023-1427 |
| Practice Telephone | 5033186799 |
| Practice Fax Number | 5036304776 |
| Mailing Telephone | 5033186799 |
| Mailing Fax Number | 5036304776 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | MS. TAMARA LYNN NIELSON (OWNER-MANAGER) |
| Authorized Official Telephone | 5033186799 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
14141 | OR | Ambulatory Health Care Facilities |
| Street Address |
366 SOUTH BROADWAY BOX 1427 |
| City | ESTACADA |
| State | OR |
| Zip Code | 97023-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713575 | Estacada School District 108 | Local Education Agency (LEA) | 255 Ne 6th Avenue, Estacada, OR 97023 | 2019-01-10 |
| 1699261990 | Still Waters Counseling | Counselor | 442 Nw Wade Street, Estacada, OR 97023 | 2018-07-10 |
| 1366936098 | Antonio Clifton Long-drew | Counselor | 478 Nw Wade St, Estacada, OR 97023 | 2018-06-16 |
| 1538402664 | Brian C Gilchrist | Pharmacist | 207 S Broadway St, Estacada, OR 97023 | 2013-03-27 |
| 1164664520 | Amy M Kammerer | Massage Therapist | 810 Ne Hill Way, Estacada, OR 97023 | 2009-04-01 |
| 1700038403 | Andrea Lea Premazzi | Naturopath | 121n Broadway St, Nw Center for Natural Medicine, Estacada, OR 97023 | 2008-10-14 |
| 1851588149 | Assisted Living Concepts Inc | Assisted Living Facility | 380 Nw 6th Avenue, Estacada, OR 97023 | 2007-10-01 |
| 1568661445 | Susan M. Jones | Mechanotherapist | 200 Sw Clubhouse Dr., Estacada, OR 97023 | 2007-07-12 |
| 1518035229 | Mastertech Security Services Inc | Personal Emergency Response Attendant | 303 Sw Zobrist, Estacada, OR 97023 | 2006-12-01 |
| 1598866154 | Russell Eugene Bibb Jr. | Dentist | 103 Sw Hwy 224, Ste A, Estacada, OR 97023 | 2006-09-26 |
| Find all providers in zip 97023 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
| 1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| 1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
| 1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
| 1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| 1285988444 | Md Squared | Clinic/Center | 22400 Salamo Rd Ste 201, West Linn, OR 97068-8269 | 2012-11-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OREGON MASSAGE & LYMPHEDEMA CLINIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.