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Organization
WAYWEST MASSAGE
Active
Organization
WAYWEST MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA MOREHOUSE LMT (OWNER)
(541) 953-1051
Entity
Organization
Contact information
Practice address
510 NE DEKUM ST, PORTLAND, OR 97211-2926
(541) 953-1051
Mailing address
510 NE DEKUM ST, PORTLAND, OR 97211-2926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18140
OR
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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