Blooming Moon Wellness Spa Inc
Blooming Moon Wellness Spa Inc is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.
- Licensed in
- OR
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1920 N Killingsworth StPortland, OR 97217-4437
Phone: (971) 279-2757
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 69864495 (OR) |
|---|
Record details
| NPI number | 1144574096 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ginny Tousignant — Owner And Esthetician · (971) 279-2757 |
| NPI enumerated | October 30, 2012 |
| Last updated in NPPES | October 30, 2012 |
| Mailing address | 1920 N Killingsworth St, Portland, OR 97217-4437 |
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