Organization
OREGON MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PATRICK WILCOX (OWNER)
(503) 538-0100
Entity
Organization
Contact information
Practice address
408 E 1ST ST, NEWBERG, OR 97132-2938
(503) 538-0100
(971) 832-8554
Mailing address
408 E 1ST ST, NEWBERG, OR 97132-2938
(503) 538-0100
(971) 832-8554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16771
OR
Other
Enumeration date
01/24/2014
Last updated
12/05/2014
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