Lavender Stone Massage LLC

NPI #1508017443 in Beaverton, Oregon

Provider Information

NPI Number: 1508017443
Entity Type: Organization
Organization Name: Lavender Stone Massage LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 9, 2008
Last Updated: Dec 11, 2008

Practice Location

Address: 3879 SW HALL BLVD
City: Beaverton
State: Oregon
ZIP Code: 97005-2049
Phone: (503) 574-3525

Authorized Official

Name: MS. JANE E CRAWFORD, L.M.T.
Title: OWNER
Phone: (503) 574-3525

Specialties & Taxonomy Codes

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

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