Organization
MEDICAL MASSAGE N.W. L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE MICHELLE SANDERS L.M.T (OWNER/ LMT)
(503) 516-5354
Entity
Organization
Contact information
Practice address
8655 SW CITIZENS DR, SUITE 206, WILSONVILLE, OR 97070-7475
(503) 516-5354
Mailing address
8655 SW CITIZENS DR, SUITE 206, WILSONVILLE, OR 97070-7475
(503) 516-5354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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