Organization
EXPANSE MASSAGE & BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BEAM LMT (ORGANIZER)
(928) 853-9929
Entity
Organization
Contact information
Practice address
3939 NE HANCOCK ST STE 311, PORTLAND, OR 97212-5321
(928) 853-9929
Mailing address
5918 NE 24TH AVE, PORTLAND, OR 97211-6128
(928) 853-9929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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