| NPI | 1588908057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THOMASSON Licensed Massage Therapist 503-352-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 16536) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |