180 Bodyworks LLC
Clinic/Center, Health Services in Vancouver, WA. Organization (NPI-2).
NPI number1497270151
StatusActive
Last updated in NPPESAug 3, 2017
Details
- NPI
- 1497270151
- Entity type
- Organization (NPI-2)
- Legal business name
- 180 Bodyworks LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2017
- Last updated
- Aug 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | MA60288718 | WA | Yes |
Practice location
4001 Main St Ste 216Vancouver, WA 98663-1888
Phone 360-609-8343
Mailing address
2504 34th StWashougal, WA 98671-9157
Authorized official
Ashley Anne Merklin
Owner
3606098343
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