Azalea Zen Massage LLC
Clinic/Center, Multi-Specialty in Salem, OR. Organization (NPI-2).
NPI number1215799366
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1215799366
- Entity type
- Organization (NPI-2)
- Legal business name
- Azalea Zen Massage LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2024
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Azalea Zen Massage (Other Name)
Practice location
1505 Water St Ne Ste 2Salem, OR 97301-6467
Phone 971-218-1694
Mailing address
1505 Water St Ne Ste 2Salem, OR 97301-6467
Phone 971-218-1694
Other practice locations
440 Church St Se Ste Pa6-404
Salem, OR 97312-1001
Salem, OR 97312-1001
Phone 971-218-1694
Authorized official
Maxine Valerie Trujillo
Licensed Massage Therapist
9712181694
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