Vitality Massage Clinic

NPI 1841540374 - Massage Therapist - 225700000X

NPI Details
NPI 1841540374
Enumeration Date 09/12/2012
Last Updated 05/15/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CASSANDRA CASSANDRA
Position OWNER/THERAPIST
Phone (503) 577-9358
Fax
Practice Location
11238 SE 21ST AVE
MILWAUKIE OR, 97222-7763, US
Phone (503) 577-9358
Fax
Business Location
11238 SE 21ST AVE
MILWAUKIE OR, 97222-7763, US
Phone (503) 577-9358
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 16521
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According to our database, Vitality Massage Clinic NPI is 1841540374, taxonomy code is 225700000X and license number is 16521, license state is located at Oregon. Vitality Massage Clinic physically located at 11238 Se 21st Ave, Milwaukie OR, 97222-7763. NPI Number 1033115704 has the healthcare provider type.

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1841540374 NPI number is provided on an as is basis without warranty of any kind. 1841540374 is maintained by the National Plan & Provider Enumeration System. The contents of Vitality Massage Clinic are for informational purposes only.