Organization
ADVANCED BODYWORK AND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DEAN JENSEN LMT (OWNER/THERAPIST)
(503) 883-9375
Entity
Organization
Contact information
Practice address
1018 NE 3RD ST STE C, MCMINNVILLE, OR 97128-4403
(503) 883-9375
Mailing address
1018 NE 3RD ST STE C, MCMINNVILLE, OR 97128-4403
(503) 883-9375
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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