| NPI | 1467874032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HOLLAND Licensed Massage Therapist 503-751-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: OR 19317) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |