Organization
INTO MANGALA LLC
Active
Other names
Studio15
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE CHAYADI (MEMBER)
(503) 964-8051
Entity
Organization
Contact information
Practice address
7412 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97225-2162
(971) 777-5650
Mailing address
1242 SW 11TH AVE, PORTLAND, OR 97205-2081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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