Organization
CARLTON WELLNESS STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A CLARK LMT (OWNER)
(503) 852-3099
Entity
Organization
Contact information
Practice address
455 W MAIN ST, CARLTON, OR 97111-8904
(503) 852-3099
Mailing address
PO BOX 601, CARLTON, OR 97111-0601
(503) 852-3099
(503) 852-3155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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