Organization
OREGON MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON FENNERN (PRESIDENT)
(503) 538-0100
Entity
Organization
Contact information
Practice address
901 N BRUTSCHER ST STE 208, NEWBERG, OR 97132-6097
(503) 538-0100
(971) 832-8270
Mailing address
901 N BRUTSCHER ST STE 208, NEWBERG, OR 97132-6097
(503) 538-0100
(971) 832-8270
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/13/2021
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