REPARE MASSAGE LLC
Managed Care Organizations at Kelly Ave, Portland, OR

License number
Oregon 8052
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: LESLIE JUNE CHRISTIANSEN LMT
Title: OWNER/PROVIDER
Phone: (503) 679-6881
Address
Address
4004 SW Kelly Ave STE 203, Portland, OR 97239
National Provider ID: 1093244642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REPARE MASSAGE LLC at bizstanding.com

REPARE MASSAGE LLC

4004 SW Kelly Ave SUITE 203, Portland, OR 97239

Registration:
Feb 3, 2015
State ID:
108336298
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Leslie Christiansen,4004 SW Kelly Ave SUITE 203, Portland, OR 97239 (Physical)

Managed Care Organizations licenses in Oregon










Other Doctors licenses in Oregon