Provider Demographics
NPI:1962859108
Name:MASSAGE FOR HEALTH
Entity Type:Organization
Organization Name:MASSAGE FOR HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:SCHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-828-7464
Mailing Address - Street 1:17530 SE WALNUT HILL RD.
Mailing Address - Street 2:
Mailing Address - City:AMITY
Mailing Address - State:OR
Mailing Address - Zip Code:97101
Mailing Address - Country:US
Mailing Address - Phone:503-828-7464
Mailing Address - Fax:
Practice Address - Street 1:17530 SE WALNUT HILL RD
Practice Address - Street 2:
Practice Address - City:AMITY
Practice Address - State:OR
Practice Address - Zip Code:97101-2103
Practice Address - Country:US
Practice Address - Phone:503-828-7464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20399174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty