Organization
180 BODYWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY ANNE MERKLIN LMP (OWNER)
(360) 609-8343
Entity
Organization
Contact information
Practice address
4001 MAIN ST STE 216, VANCOUVER, WA 98663-1888
(360) 609-8343
Mailing address
2504 34TH ST, WASHOUGAL, WA 98671-9157
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA60288718
WA
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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