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Organization
VICKY BROOKS LLC
Active
Organization
VICKY BROOKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY BROOKS L.M.T. (MASSAGE THERAPIST)
(847) 721-7579
Entity
Organization
Contact information
Practice address
4876 NW BETHANY BLVD, L-1, PORTLAND, OR 97229-9259
(847) 721-7579
Mailing address
5387 NW PREAKNESS TER, PORTLAND, OR 97229-8999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17835
OR
Other
Enumeration date
10/01/2012
Last updated
07/24/2014
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