Organization
BELLA VIDA MASSAGE & BODYWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANNE ROBBINS LMT (OWNER/MASSAGE THERAPIST)
(503) 396-9617
Entity
Organization
Contact information
Practice address
239 S 1ST ST, SAINT HELENS, OR 97051-2003
(503) 396-9617
Mailing address
239 S 1ST ST, SAINT HELENS, OR 97051-2003
(503) 396-9617
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
14160
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134358112
NPI NUMBER TYPE 1
—
01
—
14160
STATE LICENSE
OR
Enumeration date
09/09/2014
Last updated
09/09/2014
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