Organization
BROWNSTONE BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BRAUNSTEIN LMT (LMT/OWNER)
(360) 241-6105
Entity
Organization
Contact information
Practice address
7204 NE 6TH AVE, PORTLAND, OR 97211-2834
(360) 241-6105
Mailing address
923 NE COUCH ST, PORTLAND, OR 97232-2926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18321
OR
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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