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Organization
SIX ELEMENTS BODYWORK, LLC
Active
Organization
SIX ELEMENTS BODYWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH K. CARL LMT (OWNER)
(503) 281-4866
Entity
Organization
Contact information
Practice address
22400 SE STARK ST, SUITE 105, GRESHAM, OR 97030-2656
(503) 281-4866
(503) 907-0098
Mailing address
22400 SE STARK ST, SUITE 105, GRESHAM, OR 97030-2656
(503) 281-4866
(503) 907-0098
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11624
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487846127
NPI TYPE 1
OR
Enumeration date
07/05/2012
Last updated
04/24/2014
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