| NPI | 1265880181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA R POWELL-STORMBERG Owner 503-449-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17528) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OR 1501203397) |
| 225700000X Massage Therapist (Licence: OR 17680) | |
| 225700000X Massage Therapist (Licence: OR 13868) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |