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Organization

LAVENDER MOON WELLNESS LLC

Active
Other names
Lavender Moon Wellness, Unfurl Center
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA M PAQUETTE LMT (OWNER)
(503) 960-3366
Entity
Organization

Contact information

Practice address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 960-3366
Mailing address
2933 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 960-3366

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
05/30/2024
Last updated
05/30/2024
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