Organization
INTEGRATED MASSAGE BY ANDREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MENDIVIL (OWNER)
(503) 890-4711
Entity
Organization
Contact information
Practice address
2031 SE BELMONT ST, PORTLAND, OR 97214-2812
(971) 325-4234
Mailing address
2031 SE BELMONT ST, PORTLAND, OR 97214-2812
(971) 325-4234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19676
OR
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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