Organization
ANGELIC HEALING HANDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD S DUDLEY LMT (OWNER/PRESIDENT)
(503) 644-6109
Entity
Organization
Contact information
Practice address
1225 NW MURRAY RD, SUITE 103, PORTLAND, OR 97229-5552
(503) 644-6109
(506) 644-6109
Mailing address
1225 NW MURRAY RD, SUITE 103, PORTLAND, OR 97229-5552
(503) 644-6109
(506) 644-6109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6610
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
OR
Enumeration date
05/14/2014
Last updated
05/14/2014
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