Organization
AI ZEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN CHARTERS LMT (FOUNDER/CEO)
(503) 431-1414
Entity
Organization
Contact information
Practice address
7689 SW CAPITOL HWY, PORTLAND, OR 97219-2475
(503) 791-2394
Mailing address
19000 NW EVERGREEN PKWY APT 266, HILLSBORO, OR 97124-7047
(503) 431-1414
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16178
OR
225700000X
Massage Therapist
16334
OR
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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