Organization
SUNFIRE MASSAGE
Active
Organization
SUNFIRE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER BUXTON (LMT)
(503) 348-1250
Entity
Organization
Contact information
Practice address
22011 SE OAK ST, GRESHAM, OR 97030-8509
(503) 348-1250
Mailing address
22011 SE OAK ST, GRESHAM, OR 97030-8509
(503) 348-1250
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11880
OR
Other
Enumeration date
11/16/2011
Last updated
12/31/2014
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