NPI 1609267996

Orenco Massage Studio LLC

Organisation Health Maintenance Organization Beaverton, OR

Practice location

Address: 1915 NW Amberglen Pkwy Suite #400, Beaverton, OR 97006-6951
Phone: (360) 910-1840
Mailing address: 5841 NE Orenco Gardens Dr, Hillsboro, OR 97124-5128

Authorised official

Name: Gerald Stanley Wilk
Title: President/Secretary
Phone: (360) 910-1840

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence LMT#6259 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1609267996
Entity type: Organization
NPI issued: 9 Feb 2015
Record last updated: 9 Feb 2015

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.