Organization
BALANCE THERAPEUTIC MASSAGE AND CORE FITNESS STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN BOURLON LMT (OWNER)
(503) 358-3385
Entity
Organization
Contact information
Practice address
238 SE 2ND AVE, HILLSBORO, OR 97123-4017
(503) 358-3385
Mailing address
13345 SW BRIGHTWOOD ST, BEAVERTON, OR 97005-1222
(503) 358-3385
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14779
OR
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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