| NPI | 1720424062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE ELISE DOLAN Owner, Massage Therapist 971-221-5685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR 13402) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OR 13385) |
| 302R00000X Health Maintenance Organization (Licence: OR 13848) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |