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Organization
PORTLAND MASSAGE LLC
Active
Organization
PORTLAND MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL PINCETICH L.M.T. (OWNER/LICENSED MASSAGE THERAPIST)
(503) 290-4757
Entity
Organization
Contact information
Practice address
6510 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 290-4757
Mailing address
6510 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(503) 290-4757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17150
OR
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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