Bodywork for the Active
Bodywork for the Active is a Mechanotherapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.
- Licensed in
- OR
- In the registry since
- 2014
Practice location Address checks out
2701 NW Vaughn St Ste 154Portland, OR 97210-5349
Phone: (971) 246-0057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mechanotherapist (primary) | Taxonomy 172M00000X · Licence 15490 (OR) |
|---|
Record details
| NPI number | 1528486982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricard Deaustria — Owner/Lmt · (971) 246-0057 |
| NPI enumerated | April 2, 2014 |
| Last updated in NPPES | April 2, 2014 |
| Mailing address | 2701 Nw Vaughn St Ste 154, Portland, OR 97210-5349 |
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