Healthcare Provider Details

I. General information

NPI: 1003144759
Provider Name (Legal Business Name): ARIEL ZIMMER L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2009
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 SE 73RD AVE
HILLSBORO OR
97129-6223
US

IV. Provider business mailing address

1134 S GINGER ST
CORNELIUS OR
97113-6812
US

V. Phone/Fax

Practice location:
  • Phone: 541-543-7366
  • Fax:
Mailing address:
  • Phone: 541-543-7366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number16454
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: