NPI | 1386043636 |
---|---|
Doing Business As | BACKPACKER BODYWORK |
Entity Type | Organization |
Authorized Contact | DANIEL AKINS Registered Agent 503-891-2838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OR 16914) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |