| NPI | 1538477013 |
|---|---|
| Doing Business As | MIND BODY SPIRIT - A HOLISTIC COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | JON E DARE Owner 503-893-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17071) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60040619) |
| Enumeration Date | 2010-09-19 |
| Last Update Date | 2014-04-21 |