Classic Body Restoration Llc

NPI 1104186642 - Massage Therapist - 225700000X

NPI Details
NPI 1104186642
Enumeration Date 05/17/2012
Last Updated 05/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEPHANIE STEPHANIE
Position OWNER
Phone (503) 239-2639
Fax
Practice Location
107 SE WASHINGTON ST
#125
PORTLAND OR, 97214-2103, US
Phone (503) 239-2639
Fax
Business Location
107 SE WASHINGTON ST
#125
PORTLAND OR, 97214-2103, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 13098
Remove 1104186642 NPI Number
 

According to our database, Classic Body Restoration Llc NPI is 1104186642, taxonomy code is 225700000X and license number is 13098, license state is located at Oregon. Classic Body Restoration Llc physically located at 107 Se Washington St, Portland OR, 97214-2103. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104186642 NPI number is provided on an as is basis without warranty of any kind. 1104186642 is maintained by the National Plan & Provider Enumeration System. The contents of Classic Body Restoration Llc are for informational purposes only.