Organization
ANDERSON THERAPEUTIC MASSAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI LYNN ANDERSON LMT (MASSAGE THERAPIST/OWNER)
(503) 348-4794
Entity
Organization
Contact information
Practice address
655 NW BURNSIDE RD STE 1, GRESHAM, OR 97030-3745
(503) 348-4794
(503) 667-3403
Mailing address
200 SW FLORENCE AVE APT D15, GRESHAM, OR 97080-7127
(503) 348-4794
(503) 667-3403
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11-00008345
OR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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