Lifestyle Nutrition and Massage
NPI #1720424062 in Oregon City, Oregon
Provider Information
- NPI Number
- 1720424062
- Entity Type
- Organization
- Organization Name
- Lifestyle Nutrition and Massage
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 14, 2013
- Last Updated
- May 14, 2013
Practice Location
- Address
- 418 BEAVERCREEK RD
- Address 2
- SUITE #102
- City
- Oregon City
- State
- Oregon
- ZIP Code
- 97045
- Phone
- (503) 723-4462
Authorized Official
- Name
- JESSIE ELISE DOLAN, LMT
- Title
- OWNER, MASSAGE THERAPIST
- Phone
- (971) 221-5685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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