Ceres And Luna Holistic Spa LLC
Massage Therapist in Portland, OR. Organization (NPI-2).
NPI number1295597516
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1295597516
- Entity type
- Organization (NPI-2)
- Legal business name
- Ceres And Luna Holistic Spa LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2024
- Certification date
- Jan 24, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 171100000X | Acupuncturist | – | – | |
| 202D00000X | Integrative Medicine | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Ceres And Luna Holistic Spa LLC (Doing Business As)
Practice location
3821 Ne Martin Luther King Jr BlvdPortland, OR 97212-1114
Phone 503-289-1390
Mailing address
3821 Ne Martin Luther King Jr BlvdPortland, OR 97212-1114
Phone 503-289-1390
Authorized official
Janelle Evette Grizzard
Owner
4805867859
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