| NPI | 1184962870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORRAINE BUDKE Manager 541-317-4826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5132) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 6580) |
| 225700000X Massage Therapist (Licence: OR 17886) | |
| 225700000X Massage Therapist (Licence: OR 10002) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |