Organization
INNERLIGHT HEALING ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BREUNIG (LICENSED MASSAGE THERAPIST)
(206) 920-7417
Entity
Organization
Contact information
Practice address
3128 SE 45TH AVE, PORTLAND, OR 97206-2205
(206) 920-7417
Mailing address
3128 SE 45TH AVE, PORTLAND, OR 97206-2205
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
21240
OR
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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