Organization
BRIDGIT BEASLEY PC
Active
Other names
Blue Sky Wellness Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGIT BEASLEY LAC (PRESIDENT)
(503) 517-8222
Entity
Organization
Contact information
Practice address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
(503) 517-8223
Mailing address
3944 N MISSISSIPPI AVE, PORTLAND, OR 97227-1163
(503) 517-8222
(503) 517-8223
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC000793
OR
225700000X
Massage Therapist
AC000793
OR
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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