BEAVERTON MASSAGE STUDIO NPI 1265060966

NPI Information

BEAVERTON MASSAGE STUDIO is a massage therapist in Beaverton, 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. BEAVERTON MASSAGE STUDIO NPI is 1265060966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14631 SW MILLIKAN WAY STE 11
BEAVERTON, OR
ZIP 97003-999
Phone: (503) 754-7949
Fax: (503) 662-6115

The provider's authorized official is Mallory Corrin Lawvor .
The authorized official title is Owner and has the following contact phone number (503) 332-4347.

The enumeration date for this NPI number is 3/29/2020 and was last updated on 3/29/2020.

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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