REVIVANATION LLC
Massage Therapy at 11 Ave, Portland, OR

License number
Oregon AC01286
Category
Acupuncture
Type
Acupuncturist
License number
Oregon 17523
Category
Restorative Service Providers
Type
Massage Therapist
License number
Oregon 13830
Category
Restorative Service Providers
Type
Massage Therapist
Owner
Name: MR. STEVEN M BURBANK LMT
Title: OWNER/THERAPIST
Phone: (503) 765-5333
Address
Address
914 SW 11Th Ave, Portland, OR 97205
National Provider ID: 1629490388
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about REVIVANATION LLC at bizstanding.com

REVIVANATION, LLC

914 SW 11 Ave, Portland, OR 97205

Registration:
Oct 18, 2012
State ID:
88937793
Business type:
Domestic Limited Liability Company
Agent:
Steven Burbank,914 SW 11 Ave, Portland, OR 97205 (Physical)

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