Lisa D Linnell-Olsen, LMT
Individual provider Active NPI Massage Therapist · Creswell, OR
NPI 1679117758 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1679117758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 25374 (OR)
- Practice address
- 30545 Camas Swale Rd
Creswell, OR 97426-9833 - Phone
- (541) 623-0152
- NPI assigned
- Nov 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25374 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 25374 | OR | Yes |
Addresses
Primary practice location
30545 Camas Swale Rd
Creswell, OR 97426-9833
Mailing address
PO Box 910
Creswell, OR 97426-0910
Phone (541) 623-0152
Other practice location 1
281 W Oregon Ave
Creswell, OR 97426-9605
Phone (541) 623-0152
Other providers in Creswell, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.