Oregon Garden Resort LLC

NPI #1366819377 in Silverton, Oregon

Provider Information

NPI Number: 1366819377
Entity Type: Organization
Organization Name: Oregon Garden Resort LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OREGON GARDEN RESORT LLC
Primary Specialty: Massage Therapist
Enumeration Date: Aug 25, 2015
Last Updated: Aug 25, 2015

Practice Location

Address: 895 W MAIN ST
City: Silverton
State: Oregon
ZIP Code: 97381-2243
Phone: (503) 874-2503

Authorized Official

Name: MS. ANNABETH RANAE NELSON, LMT
Title: SPA MANAGER
Phone: (503) 874-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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