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Organization
WILD FOLIAGE MASSAGE & BOTANICALS LLC
Active
Organization
WILD FOLIAGE MASSAGE & BOTANICALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNA KOHL LMT (LMT)
(512) 809-3498
Entity
Organization
Contact information
Practice address
2632 SE 25TH AVE STE G, PORTLAND, OR 97202-1285
(512) 809-3498
Mailing address
4607 SE 43RD AVE, PORTLAND, OR 97206-4103
(512) 809-3498
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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