Organization
BODYWORK MASSAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JONATHAN EMERSON LMT (PRESIDENT)
(503) 618-9760
Entity
Organization
Contact information
Practice address
329 NE HOOD AVE, GRESHAM, OR 97030-7449
(503) 618-9760
Mailing address
329 NE HOOD AVE, GRESHAM, OR 97030-7449
(503) 618-9760
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7087
OR
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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