Equilibria Llc in Portland - Massage Therapist
Equilibria Llc - NPI 1245497791
Equilibria Llc is a Massage Therapist in Portland, Oregon. Equilibria Llc practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Equilibria Llc is 1245497791. The last update date is 2008-05-21.
Equilibria Llc's current location address is 1536 Nw 23rd Ave, Portland, Oregon. You can contact this provider via phone number 5032212155 and fax number 5032744159. The mailing address for Equilibria Llc is 1536 Nw 23rd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Equilibria Llc |
|---|---|
| Address | 1536 Nw 23rd Ave, Portland, Oregon |
| Phone Number | 5032212155 |
| Fax Number | 5032744159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LMT |
|---|---|
| Authorized Official Name | Bode M Jennifer |
| Credentials | LMT |
| Telephone Number | 5032212155 |
NPI Number Detail
| NPI Number | 1245497791 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 1536 Nw 23rd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972102618 |
| Phone Number | 5032212155 |
| Fax Number | 5032744159 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 661684 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identifier code assigned to Equilibria Llc by the Centers for Medicare & Medicaid Services?
The Equilibria Llc has been issued the NPI (National Provider Identifier) 1245497791 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Equilibria Llc is located?
The Equilibria Llc is situated at the following address: 1536 Nw 23Rd Ave, Portland, OR, 972102618.
What is the Equilibria Llc's area of specialization and corresponding taxonomy classification?
The Equilibria Llc's specialty field is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245497791 to Equilibria Llc?
The Centers for Medicare & Medicaid Services originally issued the 1245497791 to Equilibria Llc on 2008-05-21.
As of what date was the information regarding Equilibria Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Equilibria Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-21.