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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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