| NPI | 1366819377 |
|---|---|
| Doing Business As | MOONSTONE SPA |
| Entity Type | Organization |
| Authorized Contact | ANNABETH RANAE NELSON Spa Manager 503-874-2503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |