Mamahaven Massage

NPI #1598008609 in Portland, Oregon

Provider Information

NPI Number: 1598008609
Entity Type: Organization
Organization Name: Mamahaven Massage
Primary Specialty: Specialist
Enumeration Date: Mar 27, 2013
Last Updated: Mar 27, 2013

Practice Location

Address: 6536 SE DUKE ST
City: Portland
State: Oregon
ZIP Code: 97206-6665
Phone: (860) 922-6439

Authorized Official

Name: ANNE TEGTMEIER, LMT
Title: OWNER
Phone: (860) 922-6439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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