Organization
LAVENDER STONE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE E CRAWFORD L.M.T. (OWNER)
(503) 574-3525
Entity
Organization
Contact information
Practice address
3879 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 574-3525
Mailing address
3879 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 574-3525
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
12/11/2008
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