NPI 1134492986

Under the Influence of Massage

Organisation Preferred Provider Organization Vancouver, WA

Practice location

Address: 1612 NE 78th St, Vancouver, WA 98665-9635
Phone: (360) 573-3223

Authorised official

Name: Alicia Jacoby
Title: Owner
Phone: (360) 573-3223

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA00016071 (WA)

Other Preferred Provider Organization providers in Washington →

Registry record

NPI: 1134492986
Entity type: Organization
NPI issued: 9 Feb 2012
Record last updated: 9 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.