Advanced Alternative Healthcare Clinic, Inc.

NPI #1013482785 in Scappoose, Oregon

Provider Information

NPI Number: 1013482785
Entity Type: Organization
Organization Name: Advanced Alternative Healthcare Clinic, Inc.
Primary Specialty: Massage Therapist
Enumeration Date: Oct 9, 2018
Last Updated: Jun 30, 2021

Practice Location

Address: 32811 SW HUSER LN
City: Scappoose
State: Oregon
ZIP Code: 97056-2636
Phone: (503) 267-7659

Authorized Official

Name: MRS. SHELBY FAGAN, LMT
Title: PRESIDENT
Phone: (503) 267-7659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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