Organization
HAVEN STONE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY VANESSA BRAMLEY LMT (OWNER)
(503) 430-4200
Entity
Organization
Contact information
Practice address
1530 E 1ST ST, NEWBERG, OR 97132-3237
(503) 430-4200
Mailing address
215 W ILLINOIS ST, NEWBERG, OR 97132-1607
(503) 430-4200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13000
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
11/15/2017
Last updated
11/15/2017
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