| NPI | 1811302607 |
|---|---|
| Doing Business As | SURGE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CASEY HOLLIMAN President 503-568-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-07-25 |