Organization
BODY OF WORK WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MARIE MORANO LMT (OWNER/MASSAGE THERAPIST)
(503) 290-6636
Entity
Organization
Contact information
Practice address
3220 NW 185TH AVE STE 100, PORTLAND, OR 97229-3492
(503) 290-6636
(503) 213-7100
Mailing address
3220 NW 185TH AVE STE 100, PORTLAND, OR 97229-3492
(503) 290-6636
(503) 213-7100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17126
OR
Other
Enumeration date
06/30/2014
Last updated
01/20/2016
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