Organization
BODY SAGE MASSAGE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA FARGO LMT (OWNER)
(503) 644-1418
Entity
Organization
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, SUITE 140, BEAVERTON, OR 97005-2027
(503) 644-1418
(503) 644-1422
Mailing address
3800 SW CEDAR HILLS BLVD, SUITE 140, BEAVERTON, OR 97005-2027
(503) 644-1418
(503) 644-1422
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11230
OR
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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