Organization
ALEGRIA BODYWORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PONDOLFINO (BILLING MANAGER)
(971) 328-0083
Entity
Organization
Contact information
Practice address
5935 SE BELMONT ST, PORTLAND, OR 97215-1925
(971) 406-9299
(971) 888-7503
Mailing address
5935 SE BELMONT ST, PORTLAND, OR 97215-1925
(971) 406-9299
(971) 888-7503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246148
—
OR
Enumeration date
01/12/2022
Last updated
04/12/2022
Update your record
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