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Organization

RESTORE MASSAGE PDX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY N REAGAN (LICENSED MASSAGE THERAPIST)
(971) 570-1495
Entity
Organization

Contact information

Practice address
14833 SW 72ND AVE, TIGARD, OR 97224-7911
(971) 570-1495
Mailing address
14833 SW 72ND AVE, TIGARD, OR 97224-7911
(971) 570-1495

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
17822
OR

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
About Stedi
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Product
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  • Eligibility checks
  • EDI platform