Organization
FERN AND THISTLE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA MYERS (OWNER)
(916) 504-7961
Entity
Organization
Contact information
Practice address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
(916) 504-7961
Mailing address
811 E BURNSIDE ST STE 217, PORTLAND, OR 97214-1231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
01/13/2023
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