Bamboo Garden Two LLC

NPI #1548041494 in Keizer, Oregon

Provider Information

NPI Number: 1548041494
Entity Type: Organization
Organization Name: Bamboo Garden Two LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 6, 2023
Last Updated: Oct 6, 2023

Practice Location

Address: 945 ALDER DR NE STE A
City: Keizer
State: Oregon
ZIP Code: 97303-4709
Phone: (503) 689-6658

Authorized Official

Name: MR. SUNG LI, LMT
Title: OWNER
Phone: (707) 592-5361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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