Organization
ETERNAL SPRING MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIHO PURCELL (OWNER)
(503) 572-9234
Entity
Organization
Contact information
Practice address
7048 SE MILWAUKIE AVE, PORTLAND, OR 97202-5719
(503) 572-9234
Mailing address
7048 SE MILWAUKIE AVE, PORTLAND, OR 97202-5719
(503) 572-9234
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
14623
OR
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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