| Massage And Spa At Bethany | |
|
15280 Nw Central Dr 102 Portland OR 97229-7805 | |
| (503) 533-5614 | |
| Not Available |
| Full Name | Massage And Spa At Bethany |
|---|---|
| Speciality | Clinic/center |
| Location | 15280 Nw Central Dr, Portland, Oregon |
| Authorized Official Name and Position | Jennifer L Oulds (OWNER/THERAPIST) |
| Authorized Official Contact | 5035335614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Massage And Spa At Bethany 15280 Nw Central Dr 102 Portland OR 97229-7805 Ph: (503) 533-5614 | Massage And Spa At Bethany 15280 Nw Central Dr 102 Portland OR 97229-7805 Ph: (503) 533-5614 |
| NPI Number | 1649717141 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649717141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20527 (Oregon) | Primary |
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