Organization
GRESHAM THERAPEUTIC MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HOARD (OWNER)
(503) 492-3910
Entity
Organization
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 492-3910
Mailing address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 492-3910
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
19488
OR
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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