Organization
EQUILIBRIA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAMILA A LOUPAL LMT (OWNER)
(503) 221-2155
Entity
Organization
Contact information
Practice address
1308 NW 20TH AVE STE 1, PORTLAND, OR 97209-1607
(503) 221-2155
Mailing address
1308 NW 20TH AVE SUITE 1, PORTLAND, OR 97209
(503) 221-2155
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16166
OR
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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