| NPI | 1538430921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN MCCLENON SACON Owner 503-491-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO20023) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 224Y00000X Clinical Exercise Physiologist | |
| 225700000X Massage Therapist (Licence: OR 6654) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |