Amanda Nelson, LMT

NPI #1447451034 in Woodburn, Oregon

Provider Information

NPI Number: 1447451034
Entity Type: Individual
Name: Amanda Nelson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 559 GLATT CIR STE 1
City: Woodburn
State: Oregon
ZIP Code: 97071-9675
Phone: (503) 981-4591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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