Organization
SPA BLISS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY R. REED (OWNER)
(503) 883-4929
Entity
Organization
Contact information
Practice address
800 NE 8TH ST, MCMINNVILLE, OR 97128-4002
(503) 883-4929
Mailing address
800 NE 8TH ST, MCMINNVILLE, OR 97128-4002
(503) 883-4929
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
COS-FA-10122642
OR
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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