REVIVANATION LLC

PORTLAND, OR
NPI1629490388
Doing Business AsEYEM
Entity TypeOrganization
Authorized ContactSTEVEN M BURBANK
Owner/Therapist
503-765-5333
Organization Subpart ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  17523)
Additional Taxonomies171100000X Acupuncturist
(Licence: OR  AC01286)
225700000X Massage Therapist
(Licence: OR  13830)
Enumeration Date2014-01-15
Last Update Date2014-01-15
Business Address
REVIVANATION LLC
914 SW 11TH AVE
PORTLAND, OR 97205-2001
Phone number: 503-765-5333
Mailing Address
REVIVANATION LLC
914 SW 11TH AVE
PORTLAND, OR 97205-2001
Phone number: 503-765-5333