| NPI | 1013482785 |
|---|---|
| Doing Business As | ADVANCED MEDICAL MASSAGE |
| Entity Type | Organization |
| Authorized Contact | SHELBY FAGAN President 503-267-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-06-30 |