Organization
EQUILIBRIA LLC
Active
Other names
Equilibria Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M BODE LMT (LMT)
(503) 221-2155
Entity
Organization
Contact information
Practice address
1536 NW 23RD AVE, SECOND FLOOR, PORTLAND, OR 97210-2618
(503) 221-2155
(503) 274-4159
Mailing address
1536 NW 23RD AVE, SECOND FLOOR, PORTLAND, OR 97210-2618
(503) 221-2155
(503) 274-4159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
661684
OR
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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