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OREGON GARDEN RESORT LLC NPI 1366819377


NPI Information

NPI: 1366819377
Provider Name: OREGON GARDEN RESORT LLC

Doing Business As: MOONSTONE SPA

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
895 W MAIN ST
SILVERTON, OR
ZIP 97381
Phone: (503) 874-2503
Get Directions

OREGON GARDEN RESORT LLC is a massage therapist in Silverton, 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. OREGON GARDEN RESORT LLC NPI is 1366819377. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Moonstone Spa.

The provider's business location address is:

895 W MAIN ST
SILVERTON, OR
ZIP 97381-243
Phone: (503) 874-2503

The provider's authorized official is Annabeth Ranae Nelson .
The authorized official title is Spa Manager and has the following contact phone number (503) 874-2503.

The enumeration date for this NPI number is 8/25/2015 and was last updated on 8/25/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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