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Organization
VITALITY MASSAGE CLINIC
Active
Organization
VITALITY MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BARTON L.M.T. (OWNER/THERAPIST)
(503) 577-9358
Entity
Organization
Contact information
Practice address
11238 SE 21ST AVE, MILWAUKIE, OR 97222-7763
(503) 577-9358
Mailing address
11238 SE 21ST AVE, MILWAUKIE, OR 97222-7763
(503) 577-9358
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16521
OR
Other
Enumeration date
09/12/2012
Last updated
05/15/2014
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