| NPI | 1205969391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE RENE LAWRENCE Licensed Massage Therapy 503-589-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 12558) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |