Organization
THE WELLNESS CENTER PDX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA SOPHIA PINHEIRO LMT (MASSAGE THERAPIST)
(503) 523-7536
Entity
Organization
Contact information
Practice address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 389-5545
Mailing address
1359 NE 35TH AVE, PORTLAND, OR 97232-1941
(503) 389-5545
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
5070
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20181
LMT
OR
Enumeration date
12/08/2014
Last updated
12/08/2014
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