Organization
PBF ENTERPRISES, INC.
Active
Other names
St. Helens Bowenwork Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRATITI FULLERTON LMT (PRESIDENT)
(503) 397-0429
Entity
Organization
Contact information
Practice address
1541 COLUMBIA BLVD, SAINT HELENS, OR 97051-6212
(503) 397-0429
Mailing address
1541 COLUMBIA BLVD, SAINT HELENS, OR 97051-6212
(503) 397-0429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12813
OR
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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