Organization
PACIFIC WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN ABPLANALP LMT (OWNER)
(971) 678-7956
Entity
Organization
Contact information
Practice address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(971) 678-7956
Mailing address
PO BOX 14074, PORTLAND, OR 97293-0074
(971) 678-7956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17985
OR
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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