Organization
WILL HALLETT BODYWORK, INC
Active
Other names
Palaquin Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T HALLETT LMT (OWNER/LMT)
(503) 224-6800
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE, STE 1108, PORTLAND, OR 97205-2732
(503) 224-6800
(503) 224-6800
Mailing address
511 SW 10TH AVE, STE 1108, PORTLAND, OR 97205-2732
(503) 224-6800
(503) 224-6800
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
18758
OR
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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