| NPI | 1124454160 |
|---|---|
| Doing Business As | ELEMENTS THERAPEUTIC MASSAGE - LAKE OSWEGO |
| Entity Type | Organization |
| Authorized Contact | ROGER HEIKENS President 503-680-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |