| NPI | 1942788484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASON MOORE Manager 503-748-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC184969) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR LMT20000) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |