Organization
GOLD SOMA WELLNESS SPA LLC
Active
Other names
Soma Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVANA JAISWAL OWNER (OWNER)
(503) 747-6244
Entity
Organization
Contact information
Practice address
7177 NE IMBRIE DR, HILLSBORO, OR 97124-7594
(503) 747-6244
Mailing address
16814 NW MILCLIFF ST, PORTLAND, OR 97229-1162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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