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Organization
WOODSTOCK WELLNESS CENTER
Active
Organization
WOODSTOCK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TISCI LA.C (OWNER)
(503) 777-2776
Entity
Organization
Contact information
Practice address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
Mailing address
4512 SE WOODSTOCK BLVD, PORTLAND, OR 97206-6274
(503) 777-2776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13186
OR
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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