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Organization
TEAR OF THE BUDDHA LLC
Active
Organization
TEAR OF THE BUDDHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA JEANNE GOLLIHER LMT (OWNER)
(307) 699-7320
Entity
Organization
Contact information
Practice address
322 NW 5TH AVE, PORTLAND, OR 97209-3825
(503) 227-0206
Mailing address
9100 N BUCHANAN AVE, PORTLAND, OR 97203-2433
(307) 699-7320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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