Provider Demographics
NPI:1629492855
Name:ORTHOPEDIC MASSAGE ASSOCIATES INC.
Entity Type:Organization
Organization Name:ORTHOPEDIC MASSAGE ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:J
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-664-3535
Mailing Address - Street 1:646 RAVEN RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-3445
Mailing Address - Country:US
Mailing Address - Phone:541-664-3535
Mailing Address - Fax:
Practice Address - Street 1:75 N 1ST ST
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2069
Practice Address - Country:US
Practice Address - Phone:541-664-3535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4667261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty