| NPI | 1922351311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DIANNE LORD Owner / Managing Partner 503-277-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 14446) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |