Individual
MR. ADAM BALGAMWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
22000 WILLAMETTE DR, SUITE NUMBER #107, WEST LINN, OR 97068-3275
(503) 722-8888
Mailing address
10642 SE 75TH AVE, MILWAUKIE, OR 97222-2098
(503) 888-5457
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16821
OR
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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