Organization
BRIDGET FRAGALE LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET THERESA FRAGALE LMT (MASSAGE THERAPIST)
(503) 890-5683
Entity
Organization
Contact information
Practice address
819 SE MORRISON ST, PORTLAND, OR 97214-6307
(503) 890-5683
Mailing address
1704 NE 81ST AVE, PORTLAND, OR 97213-6630
(503) 890-5683
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10623
OR
Other
Enumeration date
12/30/2013
Last updated
07/27/2016
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