EMBODIMENT EVOLUTION, LLC

MILWAUKIE, OR
NPI1225766777
Doing Business AsERIC VAN LEEUWEN, LMT
Entity TypeOrganization
Authorized ContactERIC VAN LEEUWEN
Massage Therapist
415-609-4343
Organization Subpart ?No
Primary Taxonomy225700000X Massage Therapist
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
EMBODIMENT EVOLUTION, LLC
2403 SE MONROE ST STE B
MILWAUKIE, OR 97222-7646
Phone number: 503-303-4078
Mailing Address
EMBODIMENT EVOLUTION, LLC
1414 SE LONG ST
PORTLAND, OR 97202-5030
Phone number: 415-609-4343