| NPI | 1942718952 |
|---|---|
| Doing Business As | BACK TO THE SOURCE |
| Entity Type | Organization |
| Authorized Contact | JULIE ROBINSON Owner 503-892-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |