Provider Demographics
NPI:1053657536
Name:INTOUCH MASSAGE LLC
Entity Type:Organization
Organization Name:INTOUCH MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:VOLM
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-639-6751
Mailing Address - Street 1:8120 SW PETERS RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7622
Mailing Address - Country:US
Mailing Address - Phone:503-639-6963
Mailing Address - Fax:
Practice Address - Street 1:15962 BOONES FERRY RD STE 209
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-4360
Practice Address - Country:US
Practice Address - Phone:503-639-6751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18940174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty