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Organization
SHIFTING SANDS HOLISTIC HEALING LLC
Active
Organization
SHIFTING SANDS HOLISTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A MONTERA LMT (PROVIDER)
(503) 882-8081
Entity
Organization
Contact information
Practice address
328 W MAIN ST STE A100, HILLSBORO, OR 97123-3985
(503) 882-8081
Mailing address
1271 SE LEANDER ST, HILLSBORO, OR 97123-5199
(503) 882-8081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8313
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8313
STATE LICENSE
OR
Enumeration date
12/22/2015
Last updated
01/16/2024
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