Organization
ENHANCING HEALTH MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY LYNN GAYOMALI (LMT)
(503) 515-1252
Entity
Organization
Contact information
Practice address
6519 SE MILWAUKIE AVE, SUITE #203, PORTLAND, OR 97202-5519
(503) 515-1252
Mailing address
6519 SE MILWAUKIE AVE, SUITE #203, PORTLAND, OR 97202-5519
(503) 515-1252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15787
OR
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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