Organization
BLUE FOOT HEALING LLC
Active
Other names
Blue Foot Healing Massage & Wellness, Blue Foot Healing
Organization subpart
No
Provider details
NPI number
Authorized official
PAKE RYAN NIELSON LMT (FOUNDING LMT)
(503) 567-5880
Entity
Organization
Contact information
Practice address
7318 N LEAVITT AVE, PORTLAND, OR 97203-4840
(503) 567-5880
(866) 629-1294
Mailing address
7318 N LEAVITT AVE, PORTLAND, OR 97203-4840
(503) 567-5880
(866) 629-1294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
03/20/2025
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