Organization · Type 2 NPI
Anderson Therapeutic Massage Clinic
Health Service Clinic/Center · Gresham, OR
NPI number
1831484633
Active
Practice location
655 NW Burnside Rd Ste 1
Gresham, OR 97030-3745
Fax (503) 667-3403
Mailing address
200 SW Florence Ave Apt D15
Gresham, OR 97080-7127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 11-00008345 (OR) |
Health Service Clinic/Center: Definition to come...
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About NPI 1831484633
Anderson Therapeutic Massage Clinic's National Provider Identifier is 1831484633, issued on Jun 9, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Gresham, OR. The record was last updated on Jun 9, 2011.