Organization
ADAPT TRAINING
Active
Other names
Function Dynamics
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CASSIDY (CO OWNER)
(503) 646-8482
Entity
Organization
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 646-8482
Mailing address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11608
OR
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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