Organization
OPTIMA CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HANKINS LMT (REGISTERED AGENT)
(503) 526-0734
Entity
Organization
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, SUITE 203, BEAVERTON, OR 97005-2027
(503) 526-0734
(503) 715-3182
Mailing address
3800 SW CEDAR HILLS BLVD, SUITE 203, BEAVERTON, OR 97005-2027
(503) 526-0734
(503) 715-3182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11769
OR
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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