Organization
PACIFIC NW MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TATTI LMT (LICENSED MASSAGE THERAPIST)
(503) 707-6486
Entity
Organization
Contact information
Practice address
144 SE CLAY ST, DALLAS, OR 97338-2805
(503) 707-6486
Mailing address
16905 FALLS CITY RD, DALLAS, OR 97338-9494
(503) 707-6486
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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