Organization
BALANCED CARE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALYCIA C REEVES LMT (SOLE PROPRIETOR)
(503) 969-7430
Entity
Organization
Contact information
Practice address
6954 N GREELEY AVE, PORTLAND, OR 97217-5236
(503) 969-7430
Mailing address
6954 N GREELEY AVE, PORTLAND, OR 97217-5236
(503) 969-7430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21235
OR
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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