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NPI Code Detail

MEDICARE: CORINNE KAMLADE

MEDICARE: CORINNE KAMLADE
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 Therapist19936OR

General Provider Information

NPI Number : 1558221135
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE KAMLADE
Provider Business Mailing Address
First Line : 220 5TH AVE SW
Second Line :
City : ALBANY
State : OR
Zip : 97321-2345
Country : US
Telephone Number : 541-926-0510
Fax Number :
Provider Business Practice Location Address
First Line : 220 5TH AVE SW
Second Line :
City : ALBANY
State : OR
Zip : 97321-2345
Country : US
Telephone Number : 541-926-0510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 11/14/2025

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Directions to “ CORINNE KAMLADE ” Practice Location

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