Organization
CAMILLE B HOOK L.M.T
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAMILLE BERRY HOOK L.M.T (LICENSED MASSAGE THERAPIST)
(503) 804-3596
Entity
Organization
Contact information
Practice address
2100 NE BROADWAY ST, 225, PORTLAND, OR 97232-1569
(503) 804-3596
Mailing address
2100 NE BROADWAY ST, 225, PORTLAND, OR 97232-1569
(503) 804-3596
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
17136
OR
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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