Blueprint For Balance

NPI 1083971378 - Specialist - 174400000X

NPI Details
NPI 1083971378
Enumeration Date 04/12/2012
Last Updated 04/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name COLLAINE BROOKE COLLAINE
Position LICENSED MASSAGE THERAPIST
Phone (503) 810-4941
Fax
Practice Location
7 SE 30TH AVE
PORTLAND OR, 97214-1902, US
Phone (503) 810-4941
Fax
Business Location
7 SE 30TH AVE
PORTLAND OR, 97214-1902, US
Phone (503) 810-4941
Fax
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 14317
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According to our database, Blueprint For Balance NPI is 1083971378, taxonomy code is 174400000X and license number is 14317, license state is located at Oregon. Blueprint For Balance physically located at 7 Se 30th Ave, Portland OR, 97214-1902. NPI Number 1033115704 has the healthcare provider type.

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1083971378 NPI number is provided on an as is basis without warranty of any kind. 1083971378 is maintained by the National Plan & Provider Enumeration System. The contents of Blueprint For Balance are for informational purposes only.