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NPI Code Detail

MEDICARE: BRIENNA K. WINEGARDEN LMT

MEDICARE: BRIENNA K. WINEGARDEN LMT
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
1225700000XMassage TherapistMASS.MA.70077160WA

General Provider Information

NPI Number : 1558216184
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIENNA K. WINEGARDEN LMT
Provider Business Mailing Address
First Line : 452 NW 16TH AVE
Second Line :
City : CAMAS
State : WA
Zip : 98607-1245
Country : US
Telephone Number : 469-207-6470
Fax Number :
Provider Business Practice Location Address
First Line : 327 NE 5TH AVE
Second Line :
City : CAMAS
State : WA
Zip : 98607-2030
Country : US
Telephone Number : 360-834-5126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2026
Last Update Date : 06/18/2026

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Directions to “ BRIENNA K. WINEGARDEN LMT” Practice Location

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