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Organization
VHASKERA LLC
Active
Organization
VHASKERA LLC
Active
Other names
Revive Massage Therapy & Sports Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BHASKAR BHATNAGAR (OWNER)
(503) 381-1404
Entity
Organization
Contact information
Practice address
16315 SW BARROWS RD STE 203A, BEAVERTON, OR 97007-9461
(503) 746-6585
(503) 746-6583
Mailing address
5058 NW CRADY LN, PORTLAND, OR 97229-2395
(503) 381-1404
(503) 746-6583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/26/2010
Last updated
04/06/2017
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