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Organization

STACEY MAIRS, LMT, LLC

Active
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Organization

STACEY MAIRS, LMT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY MAIRS LMT (OWNER)
(503) 504-8425
Entity
Organization

Contact information

Practice address
2926 NE FLANDERS ST, PORTLAND, OR 97232-3259
(503) 504-8425
Mailing address
5232 SE COOPER ST, PORTLAND, OR 97206-7674
(503) 504-8425

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18233
OR

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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