Organization
CHAMPION MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANN CHAMPION LMT (OWNER)
(541) 772-4399
Entity
Organization
Contact information
Practice address
3190 STATE ST STE 101, MEDFORD, OR 97504-8498
(541) 772-4399
(541) 772-4228
Mailing address
3190 STATE ST STE 101, MEDFORD, OR 97504-8498
(541) 772-4399
(541) 772-4228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417104381
SARA CHAMPION LMT
OR
Enumeration date
11/06/2019
Last updated
11/06/2019
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