Organization
BIO FOOT REFLEXOLOGY AND MASSAGE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALDEN LEARD (FINANCIAL MANAGER)
(503) 526-9285
Entity
Organization
Contact information
Practice address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Mailing address
3805 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 526-9285
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17234
OR
225700000X
Massage Therapist
18829
OR
Other
Enumeration date
11/15/2012
Last updated
09/20/2013
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