Organization
RAECHEL J. MASSIE
Active
Other names
Advantage Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAECHEL JENNIFER MASSIE M.P.T. (OWNER/PHYSICAL THERAPIST)
(503) 368-4978
Entity
Organization
Contact information
Practice address
278 ROWE STREET, 2ND FLOOR NORTH, WHEELER, OR 97147
(503) 368-4978
(503) 368-4979
Mailing address
PO BOX 278, NEHALEM, OR 97131-0278
(503) 368-4978
(503) 368-4979
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2437
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067133000
REGENCE BLUE CROSS BLUE S
OR
Enumeration date
07/12/2007
Last updated
07/10/2008
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