Organization
INNER BALANCE MASSAGE
Active
Organization
INNER BALANCE MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHASITY S SNEDICOR LMT (OWNER)
(503) 939-8304
Entity
Organization
Contact information
Practice address
15895 SW 72ND AVE, PORTLAND, OR 97224-7977
(503) 939-8304
Mailing address
15895 SW 72ND AVE, PORTLAND, OR 97224-7977
(503) 939-8304
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
13029
OR
Other
Enumeration date
02/18/2015
Last updated
02/24/2015
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