Organization
LIFELONG WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADINAH BARLOW LMT (OWNER)
(503) 935-9289
Entity
Organization
Contact information
Practice address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(503) 673-2858
Mailing address
736 SE 60TH AVE, PORTLAND, OR 97215-1906
(503) 673-2858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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