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Organization
ROSEBURG MASSAGE HEALTH & BEAUTY SPA, LLC
Active
Organization
ROSEBURG MASSAGE HEALTH & BEAUTY SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTALISE MOORE LMT # 21182 (CO-OWNER/LMT)
(541) 378-8399
Entity
Organization
Contact information
Practice address
358 SE JACKSON ST, ROSEBURG, OR 97470-3342
(541) 378-8399
(541) 637-0167
Mailing address
1224 NE WALNUT ST # 459, ROSEBURG, OR 97470-2026
(541) 378-8399
(541) 637-0167
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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