Organization
NW LIFESTYLE MASSAGE & REIKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND KNUTSON (L.M.P)
(360) 975-0412
Entity
Organization
Contact information
Practice address
1104 MAIN ST STE G50, VANCOUVER, WA 98660-2976
(360) 975-0412
Mailing address
1104 MAIN ST STE G50, VANCOUVER, WA 98660-2976
(360) 975-0412
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA60316991
WA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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