Organization
ADVANCED MASSAGE CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL ANN CARNESE LMT (OWNER)
(503) 241-4818
Entity
Organization
Contact information
Practice address
5125 SW MACADAM AVE, SUITE 145, PORTLAND, OR 97239-3820
(503) 241-4818
(503) 241-7073
Mailing address
5125 SW MACADAM AVE, SUITE 145, PORTLAND, OR 97239-3820
(503) 241-4818
(503) 241-7073
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
12504
OR
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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