Organization
BENESTAR 713 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOACHIM CRETEN (OWNER)
(503) 515-1023
Entity
Organization
Contact information
Practice address
1211 NW GLISAN ST STE 205, PORTLAND, OR 97209-3054
(503) 515-1023
Mailing address
1211 NW GLISAN ST STE 205, PORTLAND, OR 97209-3054
(503) 515-1023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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