Teascape LLC
Reflexologist in Portland, OR. Organization (NPI-2).
NPI number1457745481
StatusActive
Last updated in NPPESMar 27, 2015
Details
- NPI
- 1457745481
- Entity type
- Organization (NPI-2)
- Legal business name
- Teascape LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2015
- Last updated
- Mar 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173C00000X | Reflexologist | 14706 | OR | Yes |
Practice location
1413 Se Hawthorne BlvdPortland, OR 97214-3640
Phone 503-476-6676
Mailing address
1413 Se Hawthorne BlvdPortland, OR 97214-3640
Authorized official
Ashley Mueller
Owner/Operator
5034766676
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