Organization
BAUER MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER LEEANN BAUER LMT (OWNER)
(971) 599-3603
Entity
Organization
Contact information
Practice address
7155 SW VARNS ST, SUITE 110, TIGARD, OR 97223-8174
(971) 599-3603
Mailing address
7155 SW VARNS ST, SUITE 110, TIGARD, OR 97223-8174
(971) 599-3603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21588
OR
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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