| NPI | 1508057605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENANA ROSE Owner/Manager 503-238-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR 10218659) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-07-17 |