Organization
ORENCO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAZETTE HARNISH LMT (OWNER)
(503) 530-8517
Entity
Organization
Contact information
Practice address
6125 NE CORNELL RD STE 390, HILLSBORO, OR 97124-5417
(503) 530-8517
(503) 766-6483
Mailing address
6125 NE CORNELL RD STE 390, HILLSBORO, OR 97124-5417
(503) 530-8517
(503) 766-6483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376709014
NPI
OR
Enumeration date
01/02/2018
Last updated
01/02/2018
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