Organization
ABSOLUTE BALANCE BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANK VARESIO L.M.T. (LICENSED MASSAGE THERAPIST)
(503) 407-9055
Entity
Organization
Contact information
Practice address
833 SE MAIN ST STE 428, PORTLAND, OR 97214-3433
(503) 407-9055
Mailing address
12570 SE 105TH AVE, CLACKAMAS, OR 97015-6728
(503) 407-9055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
17597
OR
225700000X
Massage Therapist
Primary
18132
OR
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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