Organization
BREATHING ROOM MASSAGE
Active
Other names
Maureen E Quinn, LMT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN ELAINE QUINN LMT (LICENSED MASSAGE THERAPIST/OWNER)
(541) 598-4598
Entity
Organization
Contact information
Practice address
1635 4TH ST, BAKER CITY, OR 97814-3856
(541) 598-4598
Mailing address
61373 FRANKE LN, BEND, OR 97702-9402
(541) 598-4598
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21159
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21159
OREGON STATE MASSAGE LICENSE
OR
Enumeration date
10/06/2016
Last updated
10/06/2016
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