| NPI | 1912026022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY HANKINS Registered Agent 503-526-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 11769) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |