Ceres And Luna Holistic Spa Llc is a
Massage Therapist based in Portland, Oregon. Ceres And Luna Holistic Spa Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3821 Ne Martin Luther King Jr Blvd, Portland, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 289-1390.
NPI number for Ceres And Luna Holistic Spa Llc is 1295597516 and their current mailing address is 3821 Ne Martin Luther King Jr Blvd, Portland, Oregon. Ceres And Luna Holistic Spa Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1295597516.
Healthcare Provider's Profile
Full Name | Ceres And Luna Holistic Spa Llc |
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Type | Facility |
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Speciality | Massage Therapist |
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Location | 3821 Ne Martin Luther King Jr Blvd, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295597516
- Provider Enumeration Date: 01/24/2024
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Ceres And Luna Holistic Spa Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295597516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
202D00000X | Integrative Medicine | (* (Not Available)) | Secondary |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ceres And Luna Holistic Spa Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ceres And Luna Holistic Spa Llc 3821 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1114 Ph: (503) 289-1390 | Ceres And Luna Holistic Spa Llc 3821 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1114 Ph: (503) 289-1390 |
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