Organization
FROG AND WILLOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTEL ROICE LMT (OWNER)
(307) 710-4929
Entity
Organization
Contact information
Practice address
4050 NE BROADWAY ST, PORTLAND, OR 97232-1828
(307) 710-4929
Mailing address
3125 SW CAROLINA ST, PORTLAND, OR 97239-1038
(307) 710-4929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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