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Organization
RIVER SAGE MASSAGE LLC
Active
Organization
RIVER SAGE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN MARY OVERBY LMT (MASSAGE THERAPIST)
(503) 680-9457
Entity
Organization
Contact information
Practice address
29781 SW TOWN CENTER LOOP W, WILSONVILLE, OR 97070-8806
(503) 680-9457
Mailing address
PO BOX 1172, WILSONVILLE, OR 97070-1172
(503) 680-9457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5303
OR
Other
Enumeration date
04/19/2015
Last updated
04/20/2015
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