Organization · Type 2 NPI

Advanced Alternative Healthcare Clinic, Inc.

Massage Therapist · Scappoose, OR

NPI number 1013482785 Active

Practice location

32811 SW Huser Ln
Scappoose, OR 97056-2636

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	None listed

Massage Therapist: 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.

NPI record

NPI: 1013482785
Entity type: Organization (Type 2)
Issued: Oct 9, 2018
Last updated: Jun 30, 2021
Status: Active

Other names

<unavail>
Advanced Medical Massage · doing business as
Advanced Medical Massage · doing business as

Authorized official

Mrs. Shelby Fagan, LMT
President
(503) 267-7659

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013482785

Advanced Alternative Healthcare Clinic, Inc.'s National Provider Identifier is 1013482785, issued on Oct 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Scappoose, OR. The record was last updated on Jun 30, 2021.