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Organization
BRIDGIT BEASLEY PC
Active
Organization
BRIDGIT BEASLEY PC
Active
Other names
Blue Sky Wellness Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGIT BEASLEY LAC (PRESIDENT)
(503) 517-8222
Entity
Organization
Contact information
Practice address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
(503) 517-8223
Mailing address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
(503) 517-8223
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC000793
OR
225700000X
Massage Therapist
AC000793
OR
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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