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Organization

DYNAMIC MASSAGE THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH R ROMERO LMT (OWNER)
(971) 295-4605
Entity
Organization

Contact information

Practice address
2817 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3039
(971) 295-4605
Mailing address
807 SE 40TH ST, TROUTDALE, OR 97060-2509

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
01/15/2024
Last updated
01/17/2024
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