Organization
ELEVATEDBODYWORKS LLC
Active
Other names
Elevated Bodyworks LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH OLSEN LMT (OWNER)
(801) 656-7362
Entity
Organization
Contact information
Practice address
2306 NE GLISAN ST, PORTLAND, OR 97232-2392
(801) 656-7362
Mailing address
621 SE 136TH AVE, PORTLAND, OR 97233-1931
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19511
OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
02/12/2020
Last updated
02/12/2020
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