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Organization

ELK ROCK WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLEY SARIO LMT (OWNER)
(503) 303-4078
Entity
Organization

Contact information

Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Mailing address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
12973
OR
225700000X
Massage Therapist
Primary
12973
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100640994
DBA
OR
Enumeration date
04/23/2014
Last updated
04/23/2014
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