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NIEMA WILSON LMT
NPI 1912401134
Massage Therapist in Portland, OR

Active since March 21, 2018
1216 NW 21ST AVE, PORTLAND, OR 97209(503) 662-2490 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Niema Wilson Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIEMA WILSON LMT (NPI 1912401134) is an individual massage therapist in Portland, Oregon, licensed in Oregon (24018) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1912401134
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameNIEMA WILSONCredential: LMT
Location Address1216 NW 21ST AVEPortland, OR 97209-1609
Mailing Address4110 Se Hawthorne Blvd # 905Portland, OR 97214-5246 · (503) 662-2490
Phone(503) 662-2490
Sole ProprietorYes
Enumeration DateMarch 21, 2018
✔ NPI 1912401134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 24018
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.
1216 NW 21ST AVE, Portland, OR 97209
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOLEEN ROSS, LCSW, CADC I
Community/Behavioral Health
1216 NW 21ST AVE
PORTLAND, OR 97209
Multnomah County (971) 322-4265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niema Wilson's NPI number?

The NPI number for Niema Wilson is 1912401134. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Niema Wilson located?

Niema Wilson practices at 1216 NW 21st Ave, Portland, OR 97209. The listed phone number is (503) 662-2490.

What is Niema Wilson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Niema Wilson was last updated on March 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.