NPI | 1841415783 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM IRVING Member Owner 503-866-9739 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10250) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3622) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2025-09-11 |