| NPI | 1780990630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DENISE ROBERTS Owner/Lmt 503-490-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 15528) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2013-07-09 |