Organization
MASSAGE NORTH WEST, INC.
Active
Other names
Massage Envy of Keizer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHENAULT (CEO)
(503) 589-1597
Entity
Organization
Contact information
Practice address
6395 KEIZER STATION BLVD. NE, STE. 103, KEIZER, OR 97303-2302
(503) 589-1597
Mailing address
1775 32ND PLACE NE, SUITE B, SALEM, OR 97301-8774
(503) 589-1597
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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