| Neogenisis Holistic Health & Wellness, Llc | |
|
2045 Se Washington Street, Milwaukie, OR 97222 | |
| (503) 380-5222 | |
| Not Available |
| Full Name | Neogenisis Holistic Health & Wellness, Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 2045 Se Washington Street, Milwaukie, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235378332 | NPI | - | NPPES |
| 10827 | Other | OR | LMT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 10827 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Neogenisis Holistic Health & Wellness, Llc 2045 Se Washington Street, Milwaukie, OR 97222 Ph: (503) 380-5222 | Neogenisis Holistic Health & Wellness, Llc 2045 Se Washington Street, Milwaukie, OR 97222 Ph: (503) 380-5222 |
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 |