Bamboo Garden One LLC

NPI #1588371439 in Salem, Oregon

Provider Information

NPI Number: 1588371439
Entity Type: Organization
Organization Name: Bamboo Garden One LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 651 HIGH ST NE STE 110
City: Salem
State: Oregon
ZIP Code: 97301-2490
Phone: (503) 689-6658

Authorized Official

Name: MR. SUNG LI, LMT
Title: OWNER
Phone: (503) 689-6658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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