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Organization
TWO SUNS MASSAGE THERAPY
Active
Organization
TWO SUNS MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA R POWELL-STORMBERG LMT (OWNER)
(503) 449-5164
Entity
Organization
Contact information
Practice address
9123 SE SAINT HELENS ST, STE 275, CLACKAMAS, OR 97015-6858
(503) 449-5164
Mailing address
9123 SE SAINT HELENS ST, STE 275, CLACKAMAS, OR 97015-6858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1501203397
OR
225700000X
Massage Therapist
13868
OR
225700000X
Massage Therapist
Primary
17528
OR
225700000X
Massage Therapist
17680
OR
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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