111TH SQUARE FITNESS AND THERAPY, LLC
Massage Therapy at Halsey St, Portland, OR

License number
Oregon 0355
Category
Restorative Service Providers
Type
Physical Therapist
License number
Oregon 1333261
Category
Restorative Service Providers
Type
Athletic Trainer
License number
Oregon 15397
Category
Restorative Service Providers
Type
Massage Therapist
Owner
Name: MS. LINDA JOSEPHINE SANCHEZ
Title: MAKER
Phone: (503) 256-5200
Address
Address
11126 NE Halsey St, Portland, OR 97220
National Provider ID: 1750521985
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 111TH SQUARE FITNESS AND THERAPY, LLC at bizstanding.com

111TH SQUARE FITNESS AND THERAPY LIMITED LIABILITY COMPANY

11126 NE Halsey St, Portland, OR 97220

Registration:
Jun 15, 2010
State ID:
69467299
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Linda Josephinesanchez,11126 NE Halsey St, Portland, OR 97220 (Physical)

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