Organization
OREGON GARDEN RESORT LLC
Active
Parent organization
OREGON GARDEN RESORT LLC
Other names
Moonstone Spa
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON GARDEN RESORT LLC
Authorized official
MS. ANNABETH RANAE NELSON LMT (SPA MANAGER)
(503) 874-2503
Entity
Organization
Contact information
Practice address
895 W MAIN ST, SILVERTON, OR 97381-2243
(503) 874-2503
Mailing address
895 W MAIN ST, SILVERTON, OR 97381-2243
(503) 874-2503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
OR
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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