| Embodiment Evolution, Llc | |
|
2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 | |
| (503) 303-4078 | |
| Not Available |
| Full Name | Embodiment Evolution, Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 2403 Se Monroe St Ste B, Milwaukie, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225766777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Embodiment Evolution, Llc 1414 Se Long St, Portland, OR 97202-5030 Ph: (415) 609-4343 | Embodiment Evolution, Llc 2403 Se Monroe St Ste B, Milwaukie, OR 97222-7646 Ph: (503) 303-4078 |
Ms. Carol Delima, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12601 Se River Rd Apt 318, Milwaukie, OR 97222 Phone: 650-838-9659 | |
Zachary Dennis Freiter, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3716 Se International Way, Milwaukie, OR 97222 Phone: 503-659-0073 | |
Jenna Lynn Bradshaw, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3305 Se Sellwood St, Milwaukie, OR 97222 Phone: 714-654-3650 | |
Jackson Lester Word, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222 Phone: 503-344-6711 Fax: 503-926-9365 | |
Jessica Bach, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3365 Se Floss St, Milwaukie, OR 97222 Phone: 503-314-7746 | |
Michelle D Dusek, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Se Lake Rd, Suite 2b, Milwaukie, OR 97222 Phone: 503-490-2693 Fax: 503-405-7259 | |
Ronnie Peerea Kloak, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 Se Lake Rd Ste 1, Milwaukie, OR 97222 Phone: 503-344-6711 |