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Organization
PORTLAND MASSAGE ARTS LLC
Active
Organization
PORTLAND MASSAGE ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BORDEN LMT (OWNER)
(503) 789-3313
Entity
Organization
Contact information
Practice address
1017 SW MORRISON ST, #405, PORTLAND, OR 97205-2635
(503) 789-3313
Mailing address
203 NE 113TH AVE, PORTLAND, OR 97220-2304
(503) 789-3313
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18714
OR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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