Carol Rose Massage LLC

NPI #1093042186 in Astoria, Oregon

Provider Information

NPI Number: 1093042186
Entity Type: Organization
Organization Name: Carol Rose Massage LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 10, 2009
Last Updated: Nov 10, 2009

Practice Location

Address: 1154 COMMERCIAL ST
City: Astoria
State: Oregon
ZIP Code: 97103-4126
Phone: (503) 440-3664

Authorized Official

Name: CAROL ROSE MATHRE, LMT
Title: OWNER
Phone: (503) 440-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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