Organization
MY PATH WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R THOMAS (OWNER)
(503) 915-6588
Entity
Organization
Contact information
Practice address
16099 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4680
(503) 915-6588
Mailing address
16099 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4680
(503) 915-6588
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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