Organization

Roseanne Lawrence Massage Llc

Clinic/Center in Portland, OR(View on Map)

Legal Business Name

Roseanne Lawrence Massage Llc

NPI Number

1053938787

NPI Type

Organization

Enumeration Date

06/29/2020

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3610 SW GROVER ST
1820 SW VERMONT ST

City

Portland
Portland

State

OR
OR

Postal Code

97221-4120
97219-1945

Country

US
US

Telephone Number

(503) 522-8740
(503) 522-8740

Authorized Official

Name

Mrs. Roseanne Lawrence

Title or Position

OWNER

Telephone Number

(503) 522-8740

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2020

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