Organization
TYRELL GROUP
Active
Other names
Stone Guardian Apprenticeship
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE LISSER LAC (DIRECTOR)
(503) 830-8880
Entity
Organization
Contact information
Practice address
910 CAPITOL ST NE, SALEM, OR 97301-1201
(503) 851-5518
Mailing address
910 CAPITOL ST NE, SALEM, OR 97301-1201
(503) 851-5518
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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