Organization
OPTIMAL PERFORMANCE THERAPEUTIC MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BALDWIN LMT (OWNER)
(503) 381-3241
Entity
Organization
Contact information
Practice address
1017 SW MORRISON ST, 411, PORTLAND, OR 97205-2635
(503) 381-3241
Mailing address
634 NW FLANDERS ST, 239, PORTLAND, OR 97209-3644
(503) 381-3241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
113
OR
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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