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Organization
VIDA MASSAGE, LLC
Active
Organization
VIDA MASSAGE, LLC
Active
Other names
Vida Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA E GONZALEZ LMT (OWNER)
(971) 207-3419
Entity
Organization
Contact information
Practice address
2306 NE GLISAN ST STE 200, PORTLAND, OR 97232-2392
(971) 207-3419
Mailing address
1807 SE 130TH AVE, PORTLAND, OR 97233-1413
(971) 207-3419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
02/03/2025
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