NPI 1336495894

Dragonfly Massge LLC

Organisation Health Maintenance Organization Newberg, OR

Practice location

Address: 1548 E 1st St, Newberg, OR 97132-3237
Phone: (503) 740-2162
Fax: (503) 538-5353

Authorised official

Name: Kimberly L Hawes
Title: Owner
Phone: (503) 740-2162

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 11893 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1336495894
Entity type: Organization
NPI issued: 1 Aug 2012
Record last updated: 1 Aug 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.