Spa Sasse Llc | |
630 Sw Alder St Portland OR 97205-3616 | |
(503) 228-8266 | |
Not Available |
Full Name | Spa Sasse Llc |
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Speciality | Clinic/center |
Location | 630 Sw Alder St, Portland, Oregon |
Authorized Official Name and Position | Sara Sasse (MANAGING MEMBER) |
Authorized Official Contact | 8082836669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spa Sasse Llc Po Box 22266 Portland OR 97269-2266 Ph: (503) 228-8266 | Spa Sasse Llc 630 Sw Alder St Portland OR 97205-3616 Ph: (503) 228-8266 |
NPI Number | 1710468780 |
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Provider Enumeration Date | 08/27/2018 |
Last Update Date | 08/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710468780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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