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Organization
PHOENIX SERVICES, INC.
Active
Organization
PHOENIX SERVICES, INC.
Active
Other names
Spa Willamina
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLOW LIGHT (OWNER)
(503) 287-2787
Entity
Organization
Contact information
Practice address
1928 NE 40TH AVE, PORTLAND, OR 97212-5310
(503) 287-2787
(503) 546-0667
Mailing address
1928 NE 40TH AVE, PORTLAND, OR 97212-5310
(503) 287-2787
(503) 546-0667
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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