| NPI | 1740524735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALDEN LEARD Financial Manager 503-526-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17234) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 18829) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-09-20 |