Organization · NPI-2

Abc Wellness Center

Massage Therapist · Portland, OR

NPI number1952692840

StatusActive

Last updated in NPPESApr 26, 2011

Details

NPI: 1952692840
Entity type: Organization (NPI-2)
Legal business name: Abc Wellness Center
Organization subpart: No
Enumeration date: Apr 26, 2011
Last updated: Apr 26, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225700000X	Massage Therapist	–	–	Yes
111N00000X	Chiropractor	–	–
171100000X	Acupuncturist	–	–

Practice location

2534 Nw Vaughn St
Portland, OR 97210-2552

Phone 503-477-8881 · Fax 503-719-4695

Mailing address

2534 Nw Vaughn St
Portland, OR 97210-2552

Phone 503-477-8881 · Fax 503-719-4695

Authorized official

Jana Losey Crenshaw
Owner
5034778881

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