FOX MASSAGE LLC NPI 1053778027

NPI Information

FOX MASSAGE LLC is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOX MASSAGE LLC NPI is 1053778027. The provider is registered as an organization entity type.

The provider's business location address is:

2143 NE BROADWAY ST
PORTLAND, OR
ZIP 97232-512
Phone: (503) 333-2425

The provider's authorized official is Kathryn Clippard .
The authorized official title is Sole Proprietor and has the following contact phone number (503) 333-2425.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 1/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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