Organization
BODY OF LIFE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FISHER LMT (OWNER)
(541) 954-9979
Entity
Organization
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, SUITE 193, BEAVERTON, OR 97005-2027
(541) 954-9979
Mailing address
3800 SW CEDAR HILLS BLVD, SUITE 193, BEAVERTON, OR 97005-2027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22736
OR
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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