MEDICARE: LIANNA TUMBEIRO DIAZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	29259	OR

General Provider Information

NPI Number	:	1427987056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANNA TUMBEIRO DIAZ

Provider Business Mailing Address
First Line	:	16533 NE HALSEY ST APT 403
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97230-6199
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21860 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-3256
Country	:	US
Telephone Number	:	503-650-2394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ LIANNA TUMBEIRO DIAZ ” Practice Location

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