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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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