Organization
ACTIVE CHIROPRACTIC/BALANCE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID THOMASSON LMT (LICENSED MASSAGE THERAPIST)
(503) 352-9685
Entity
Organization
Contact information
Practice address
233 SE WASHINGTON ST, SUITE 103, HILLSBORO, OR 97123-4023
(503) 352-9685
(503) 640-8811
Mailing address
14948 SW SCHOLLS FERRY RD, APT. K303, BEAVERTON, OR 97007-8285
(503) 352-9685
(503) 640-8811
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
16536
OR
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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