Organization
SOLACE CARE MEDICAL MASSAGE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE BROWN (OWNER)
(541) 602-5678
Entity
Organization
Contact information
Practice address
456 SW MONROE AVE, 104, CORVALLIS, OR 97333-4781
(541) 602-5678
Mailing address
456 SW MONROE AVE, 104, CORVALLIS, OR 97333-4781
(541) 602-5678
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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