| NPI | 1043694433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOCH WILSON Massage Therapist 503-445-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21383) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |