Restore Massage Pdx LLC

NPI #1740635713 in Tigard, Oregon

Provider Information

NPI Number
1740635713
Entity Type
Organization
Organization Name
Restore Massage Pdx LLC
Primary Specialty
Point of Service
Enumeration Date
Apr 27, 2016
Last Updated
Apr 27, 2016

Practice Location

Address
14833 SW 72ND AVE
City
Tigard
State
Oregon
ZIP Code
97224-7911
Phone
(971) 570-1495

Authorized Official

Name
MS. ASHLEY N REAGAN
Title
LICENSED MASSAGE THERAPIST
Phone
(971) 570-1495

Specialties & Taxonomy Codes

Specialty
Point of Service

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