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NPI Code Detail

MEDICARE: HANDS OF GOLD, LLC

MEDICARE: HANDS OF GOLD, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist8183OR

General Provider Information

NPI Number : 1083933782
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANDS OF GOLD, LLC
Provider Business Mailing Address
First Line : PO BOX 276
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97034-0032
Country : US
Telephone Number : 503-636-8200
Fax Number : 503-636-8200
Provider Business Practice Location Address
First Line : 3886 TAMARACK LN
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-1845
Country : US
Telephone Number : 503-636-8200
Fax Number : 503-636-8200
Authorized Official
Title or Position : PRESIDENT
Name : JENNIFER CASEY
Credential :
Telephone Number : 503-636-8200
Provider Enumeration Date : 05/20/2010
Last Update Date : 05/20/2010

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Directions to “HANDS OF GOLD, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.