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Organization
VITAL MASSAGE LLC
Active
Organization
VITAL MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PERRY (OWNER)
(971) 409-1979
Entity
Organization
Contact information
Practice address
12750 SW 2ND ST STE 203, BEAVERTON, OR 97005-2779
(971) 228-1122
Mailing address
PO BOX 3820, HILLSBORO, OR 97123-1949
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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