Provider Demographics
NPI:1881384931
Name:AMYS CHINESE WELLNESS CENTER INC.
Entity type:Organization
Organization Name:AMYS CHINESE WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIAO PING
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MASSAGE THERAPIST
Authorized Official - Phone:971-240-7880
Mailing Address - Street 1:3880 COMMERCIAL ST SE # 201
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-3835
Mailing Address - Country:US
Mailing Address - Phone:971-240-7880
Mailing Address - Fax:503-296-5849
Practice Address - Street 1:3880 COMMERCIAL ST SE # 201
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-3835
Practice Address - Country:US
Practice Address - Phone:971-240-7880
Practice Address - Fax:503-296-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty