| NPI | 1528303476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GREATHOUSE Owner/ Operator 503-944-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2016-04-26 |