Organization
HEART PATH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA SHIPLEY LMT (OWNER)
(971) 915-3033
Entity
Organization
Contact information
Practice address
5105 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3301
(971) 915-3033
Mailing address
11511 SE HAROLD ST, PORTLAND, OR 97266-3907
(503) 309-9801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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