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Organization

MAKAI MASSAGE & SPA, LLC

Active
Other names
Megan norton
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MEGAN NORTON (LMT)
(503) 752-0446
Entity
Organization

Contact information

Practice address
3758 SE MILWAUKIE AVE, PORTLAND, OR 97202-3805
(503) 752-0446
Mailing address
3758 SE MILWAUKIE AVE, PORTLAND, OR 97202-3805
(503) 752-0446

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
13064
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528331386
BLUE CROSS BLUE SHIELD
OR
Enumeration date
09/30/2015
Last updated
09/30/2015
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