Beaverton Healing Center

NPI #1922351311 in Beaverton, Oregon

Provider Information

NPI Number: 1922351311
Entity Type: Organization
Organization Name: Beaverton Healing Center
Primary Specialty: Massage Therapist
Enumeration Date: Oct 22, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 4590 SW WATSON AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-0545
Phone: (503) 332-7778

Authorized Official

Name: MRS. DEBRA DIANNE LORD
Title: OWNER / MANAGING PARTNER
Phone: (503) 277-2460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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