Back to the Source
Back to the Source is a Massage Therapist in Portland, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
823 NE Broadway StPortland, OR 97232-1215
Phone: (503) 892-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1942718952 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Robinson — Owner · (503) 892-8787 |
| Other names | Back To The Source |
| NPI enumerated | January 12, 2018 |
| Last updated in NPPES | January 12, 2018 |
| Mailing address | 823 Ne Broadway St, Portland, OR 97232-1215 |
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