Organization
ADVANCED ALTERNATIVE HEALTHCARE CLINIC, INC.
Active
Other names
Advanced Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELBY FAGAN LMT (PRESIDENT)
(503) 267-7659
Entity
Organization
Contact information
Practice address
32811 SW HUSER LN, SCAPPOOSE, OR 97056-2636
(503) 267-7659
Mailing address
32811 SW HUSER LN, SCAPPOOSE, OR 97056-2636
(503) 267-7659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
06/30/2021
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