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Organization
THE BRIGHT WAY MASSAGE THERAPY, LLC
Active
Organization
THE BRIGHT WAY MASSAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA BROOKING LMT (PRESIDENT)
(503) 407-8246
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST, SUITE 645, PORTLAND, OR 97205-2543
(503) 407-8246
(888) 208-6024
Mailing address
1020 SW TAYLOR ST, SUITE 645, PORTLAND, OR 97205-2543
(503) 407-8246
(888) 208-6024
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538280037
NPI TYPE I
OR
Enumeration date
05/23/2013
Last updated
05/23/2013
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