NPI: 1497013296
Provider Name: MASSOTHERAPY CLINIC, PC
Other Name: SUSANNE CARLSON, PRESIDENT, PROVIDER, ANNE DRYAD, PROVIDER
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1220 SW MORRISON SUITE 410
PORTLAND, OR
ZIP 97205
Phone: (503) 226-1948
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MASSOTHERAPY CLINIC, PC is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MASSOTHERAPY CLINIC, PC NPI is 1497013296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Susanne Carlson, President, Provider, Anne Dryad, Provider.
The provider's business location address is:
1220 SW MORRISON SUITE 410
PORTLAND, OR
ZIP 97205
Phone: (503) 226-1948
Fax: (503) 226-1598
The provider's authorized official is Susanne Carlson .
The authorized official title is President and has the following contact phone number (503) 226-1948.
The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.