Optima Clinic, LLC

NPI #1912026022 in Beaverton, Oregon

Provider Information

NPI Number: 1912026022
Entity Type: Organization
Organization Name: Optima Clinic, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Mar 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3800 SW CEDAR HILLS BLVD
Address 2: SUITE 203
City: Beaverton
State: Oregon
ZIP Code: 97005-2027
Phone: (503) 526-0734

Authorized Official

Name: STACEY HANKINS, LMT
Title: REGISTERED AGENT
Phone: (503) 526-0734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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