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Organization

BEAVERTON HEALING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA DIANNE LORD (OWNER / MANAGING PARTNER)
(503) 277-2460
Entity
Organization

Contact information

Practice address
4590 SW WATSON AVE, BEAVERTON, OR 97005-0545
(503) 332-7778
Mailing address
4590 SW WATSON AVE, BEAVERTON, OR 97005-0545
(503) 332-7778

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14446
OR

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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