Oregon Massage Clinic

NPI #1124616057 in Newberg, Oregon

Provider Information

NPI Number: 1124616057
Entity Type: Organization
Organization Name: Oregon Massage Clinic
Primary Specialty: Massage Therapist
Enumeration Date: Jan 6, 2021
Last Updated: Jan 13, 2021

Practice Location

Address: 901 N BRUTSCHER ST STE 208
City: Newberg
State: Oregon
ZIP Code: 97132-6097
Phone: (503) 538-0100

Authorized Official

Name: RON FENNERN
Title: PRESIDENT
Phone: (503) 538-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Massage Therapist	225700000X	Primary

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