| NPI | 1538451224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANK VARESIO Licensed Massage Therapist 503-407-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18132) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17597) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |