Organization
DRAGONFLY MASSGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L HAWES LMT (OWNER)
(503) 740-2162
Entity
Organization
Contact information
Practice address
1548 E 1ST ST, NEWBERG, OR 97132-3237
(503) 740-2162
(503) 538-5353
Mailing address
1548 E 1ST ST, NEWBERG, OR 97132-3237
(503) 740-2162
(503) 538-5353
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11893
OR
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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