BODYWORK FOR THE ACTIVE

PORTLAND, OR
NPI1528486982
Entity TypeOrganization
Authorized ContactRICARD M DEAUSTRIA
Owner/Lmt
971-246-0057
Organization Subpart ?No
Primary Taxonomy172M00000X Mechanotherapist
(Licence: OR  15490)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
BODYWORK FOR THE ACTIVE
2701 NW VAUGHN ST STE 154
PORTLAND, OR 97210-5349
Phone number: 971-246-0057
Mailing Address
BODYWORK FOR THE ACTIVE
2701 NW VAUGHN ST STE 154
PORTLAND, OR 97210-5349
Phone number: 971-246-0057
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