Organization
HAPPY SPIRIT HEALING ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESIREE FORREST RUDDER-YEPES LMT (OWNER)
(503) 508-7868
Entity
Organization
Contact information
Practice address
830 SAGINAW ST S, SALEM, OR 97302-4122
(503) 508-7868
Mailing address
5142 SUNNYSIDE RD SE, SALEM, OR 97306-1512
(503) 508-7868
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14427
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568779916
NPPES
OR
Enumeration date
06/29/2011
Last updated
06/29/2011
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