Organization
LAKE OSWEGO MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN MERRILL LMT (OWNER)
(503) 850-4810
Entity
Organization
Contact information
Practice address
15110 BOONES FERRY RD, #220, LAKE OSWEGO, OR 97035-3468
(503) 850-4810
Mailing address
15110 BOONES FERRY RD, #220, LAKE OSWEGO, OR 97035-3468
(503) 850-4810
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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