Stillwater Spa & Wellness Center
Specialist in Klamath Falls, OR. Organization (NPI-2).
NPI number1124473798
StatusActive
Last updated in NPPESMay 2, 2016
Details
- NPI
- 1124473798
- Entity type
- Organization (NPI-2)
- Legal business name
- Stillwater Spa & Wellness Center
- Organization subpart
- No
- Enumeration date
- May 2, 2016
- Last updated
- May 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 21988 | OR | Yes |
Practice location
1775 Washburn WaySuite A
Klamath Falls, OR 97603-4304
Phone 541-887-2507 · Fax 541-887-2508
Mailing address
1775 Washburn WaySuite A
Klamath Falls, OR 97603-4304
Phone 541-887-2507 · Fax 541-887-2508
Authorized official
Holen D Armstrong
Owner
5418872507
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