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Organization
WILLAMETTE THERAPEUTIC MASSAGE, LLC
Active
Organization
WILLAMETTE THERAPEUTIC MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BUTZNER LMT (MEMBER)
(541) 738-7653
Entity
Organization
Contact information
Practice address
442 NW 3RD ST, CORVALLIS, OR 97330-6403
(541) 738-7653
Mailing address
442 NW 3RD ST, CORVALLIS, OR 97330-6403
(541) 738-7653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7643
OR
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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