Clare Katner LLC Dba East Bridge Massage
Massage Therapist in Portland, OR. Organization (NPI-2).
NPI number1164068490
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1164068490
- Entity type
- Organization (NPI-2)
- Legal business name
- Clare Katner LLC Dba East Bridge Massage
- Organization subpart
- No
- Enumeration date
- Nov 21, 2019
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
2311 E Burnside St Ste 100Portland, OR 97214-1655
Phone 503-314-9297 · Fax 971-319-2195
Mailing address
2311 E Burnside St Ste 100Portland, OR 97214-1655
Phone 503-314-9297 · Fax 971-319-2195
Authorized official
Wendi Sharp
Clinic Manager
9712634492
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