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Organization
THERAPIA P.C.
Active
Organization
THERAPIA P.C.
Active
Other names
Therapia Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TARA CRISHANN NIKZI M.AC. OM, L.AC. (OWNER/ ACUPUNCTURIST)
(503) 317-5700
Entity
Organization
Contact information
Practice address
2505 SW SPRING GARDEN ST STE 100, PORTLAND, OR 97219-3966
(503) 841-6222
(503) 841-6199
Mailing address
2505 SW SPRING GARDEN ST STE 100, PORTLAND, OR 97219-3966
(503) 841-6222
(503) 841-6199
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01146
OR
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/25/2011
Last updated
03/27/2018
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