Organization
BAM BEAUTY AND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VANSCOYK (OWNER)
(971) 241-7928
Entity
Organization
Contact information
Practice address
242 NE MAIN ST, WILLAMINA, OR 97396-2784
(971) 241-7928
(971) 275-1314
Mailing address
PO BOX 329, WILLAMINA, OR 97396-0329
(971) 241-7928
(971) 275-1314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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