Organization
BEAVERTON MASSAGE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLORY CORRIN LAWVOR LMT (OWNER)
(503) 332-4347
Entity
Organization
Contact information
Practice address
14631 SW MILLIKAN WAY STE 11, BEAVERTON, OR 97003-2999
(503) 754-7949
(503) 662-6115
Mailing address
14631 SW MILLIKAN WAY STE 11, BEAVERTON, OR 97003-2999
(503) 754-7949
(503) 662-6115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
03/29/2020
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