Organization
DELICIOUS LIFE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KIRLEY LMT (OWNER)
(503) 703-1181
Entity
Organization
Contact information
Practice address
8532 N IVANHOE ST STE 201, PORTLAND, OR 97203-4827
(503) 703-1181
(503) 703-1181
Mailing address
8833 N SYRACUSE ST APT 3, PORTLAND, OR 97203-4876
(503) 703-1181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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