NPI | 1386023489 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE MASSEY Clinic Director 503-239-2639 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21188) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2015-05-21 |