Organization
BODY ALTAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BLUM LMT (OWNER)
(415) 515-6152
Entity
Organization
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(503) 941-0152
(503) 282-1070
Mailing address
6948 N MONTANA AVE, PORTLAND, OR 97217-5432
(415) 515-6152
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up