Beaverton Medical Massage LLC

NPI #1033567516 in Beaverton, Oregon

Provider Information

NPI Number
1033567516
Entity Type
Organization
Organization Name
Beaverton Medical Massage LLC
Primary Specialty
Massage Therapist
Enumeration Date
May 25, 2016
Last Updated
May 25, 2016

Practice Location

Address
3863 SW HALL BLVD STE B
State
Oregon
ZIP Code
97005-2042
Phone
(503) 730-0884

Authorized Official

Name
KC DAVIDSON, LMT
Title
OWNER
Phone
(503) 730-0884

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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