Orenco Massage Studio LLC

NPI #1609267996 in Beaverton, Oregon

Provider Information

NPI Number
1609267996
Entity Type
Organization
Organization Name
Orenco Massage Studio LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 9, 2015
Last Updated
Feb 9, 2015

Practice Location

Address
1915 NW AMBERGLEN PKWY
Address 2
SUITE #400
State
Oregon
ZIP Code
97006-6951
Phone
(360) 910-1840

Authorized Official

Name
MR. GERALD STANLEY WILK JR., LMP, LMT, MBA
Title
PRESIDENT/SECRETARY
Phone
(360) 910-1840

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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