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Organization
RITUAL MASSAGE AND BODYWORK
Active
Organization
RITUAL MASSAGE AND BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN CROWL LMT (OWNER/LMT)
(260) 750-8399
Entity
Organization
Contact information
Practice address
407 NW 17TH AVE # 5, PORTLAND, OR 97209-2247
(260) 750-8399
Mailing address
916 NE TILLAMOOK ST, PORTLAND, OR 97212-4058
(260) 750-8399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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