Meridian Medical Massage

NPI #1316301237 in Beaverton, Oregon

Provider Information

NPI Number: 1316301237
Entity Type: Organization
Organization Name: Meridian Medical Massage
Primary Specialty: Massage Therapist
Enumeration Date: Apr 6, 2016
Last Updated: Aug 17, 2016

Practice Location

Address: 3863 SW HALL BLVD
Address 2: SUITE B
City: Beaverton
State: Oregon
ZIP Code: 97005-2042
Phone: (541) 944-1989

Authorized Official

Name: MADDY CHAVEZ, LMT
Title: OWNER
Phone: (503) 446-0698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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