Healthcare Provider Details

I. General information

NPI: 1831003482
Provider Name (Legal Business Name): OAK STRONG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 STATE ST STE 6
BANGOR ME
04401-5436
US

IV. Provider business mailing address

263 STATE ST STE 6
BANGOR ME
04401-5436
US

V. Phone/Fax

Practice location:
  • Phone: 207-989-7473
  • Fax:
Mailing address:
  • Phone: 207-989-7473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PATRICK NOLAN
Title or Position: OWNER
Credential: OWNER
Phone: 207-951-6308