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Organization

HOUSE NINE LLC

Active
Other names
TeaScape
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH SHAH LMT (OWNER)
(312) 301-7187
Entity
Organization

Contact information

Practice address
1413 SE HAWTHORNE BLVD # 1, PORTLAND, OR 97214-3640
(503) 841-6460
Mailing address
1413 SE HAWTHORNE BLVD # 1, PORTLAND, OR 97214-3640
(503) 841-6460

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
225700000X
Massage Therapist
Primary

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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