Organization
CONSCIOUS CONTACT BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE K NESSER (LMT)
(310) 746-8676
Entity
Organization
Contact information
Practice address
1540 SE CLINTON ST, PORTLAND, OR 97202-1130
(310) 746-8676
Mailing address
2251 SE BROOKLYN ST, PORTLAND, OR 97202-2133
(310) 746-8676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21767
OR
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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