Beaverton Massage Studio

NPI #1265060966 in Beaverton, Oregon

Provider Information

NPI Number: 1265060966
Entity Type: Organization
Organization Name: Beaverton Massage Studio
Primary Specialty: Massage Therapist
Enumeration Date: Mar 29, 2020
Last Updated: Mar 29, 2020

Practice Location

Address: 14631 SW MILLIKAN WAY STE 11
City: Beaverton
State: Oregon
ZIP Code: 97003-2999
Phone: (503) 754-7949

Authorized Official

Name: MRS. MALLORY CORRIN LAWVOR, LMT
Title: OWNER
Phone: (503) 332-4347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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