Organization
BODY CRAFT WELLNESS LLC
Active
Parent organization
BODY CRAFT WELLNESS LLC
Other names
Body Craft Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
BODY CRAFT WELLNESS LLC
Authorized official
HAYLEY SIMON (OWNER/PROVIDER)
(503) 349-6221
Entity
Organization
Contact information
Practice address
1135 SE SALMON ST., SUITE 108, PORTLAND, OR 97214
(503) 349-6221
(503) 907-9117
Mailing address
1135 SE SALMON ST., SUITE 108, PORTLAND, OR 97214
(503) 349-6221
(503) 907-9117
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500783369
—
OR
Enumeration date
05/05/2022
Last updated
08/20/2025
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