Organization
MBODY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GILPIN DPT (OWNER)
(503) 866-5232
Entity
Organization
Contact information
Practice address
1940 NW 24TH AVE, PORTLAND, OR 97210-2786
(503) 459-8498
Mailing address
806 NE LAURELHURST PL, PORTLAND, OR 97232-2655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
03/14/2024
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