# AZALEA ZEN MASSAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Azalea Zen Massage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215799366
- **Authorized official:** MAXINE VALERIE TRUJILLO LMT\#21038 (LICENSED MASSAGE THERAPIST)
- **Authorized official phone:** (971) 218-1694

## Contact information

- **Practice address:** 1505 WATER ST NE STE 2, SALEM, OR 97301-6467
- **Practice address phone:** (971) 218-1694
- **Mailing address:** 1505 WATER ST NE STE 2, SALEM, OR 97301-6467
- **Mailing address phone:** (971) 218-1694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024