| NPI | 1588053185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F MILLER Licensed Massage Therapist 503-707-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 19923) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |