person
Selene Yvette Gold
Massage Therapist in Springfield, Oregon
NPI 1790429702

Selene Yvette Gold is a Massage Therapist based in Springfield, OR. Selene Yvette Gold practices in Springfield, OR. The NPI Number for Selene Yvette Gold is 1790429702 and holds a License No. 26503 (Oregon).

The current practice location address for Selene Yvette Gold is 4045 Virginia Ave, Springfield, OR and can be reached out via phone at 541-221-1401.

Location: 4045 Virginia Ave, Springfield, OR, 97478-6477
person
Provider Profile Details
NPI Number
1790429702
Provider Name
Selene Yvette Gold
Credential
Provider Entity Type
Individual
Gender
Female
Address
4045 Virginia Ave, Springfield, OR, 97478-6477
Phone Number
541-221-1401
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26503 01 OR STATE OF OREGON
institution
Provider Business Practice Location Address Details
Address
4045 Virginia Ave
City
State
Zip
97478-6477
Phone Number
541-221-1401
Fax Number
person
Provider Business Mailing Address Details
Address
4045 Virginia Ave
City
State
Zip
97478-6477
Phone Number
541-221-1401
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
26503 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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