| NPI | 1336684877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STEVEN JEPSEN Massage Therapist 971-388-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator (Licence: OR 15571) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |