Organization
AUTHENTIC MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SVETLANA Y. HOPPE MMP (OWNER)
(312) 532-3070
Entity
Organization
Contact information
Practice address
14631 SW MILLIKAN WAY STE 14, BEAVERTON, OR 97003-2999
(312) 532-3070
(971) 228-2151
Mailing address
14631 SW MILLIKAN WAY STE 14, BEAVERTON, OR 97003-2999
(312) 532-3070
(971) 228-2151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21414
OR
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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