Wellformed AI

NPI 1952692840 · live from the CMS NPI Registry

Abc Wellness Center

Massage Therapist in Portland, OR. National Provider Identifier 1952692840, active.

NPI record

NPI1952692840 Type 2 · organization
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location2534 Nw Vaughn St, Portland, OR 97210
Practice phone503-477-8881
EnumeratedApril 26, 2011
Last updatedApril 26, 2011
Authorized officialJana Crenshaw, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Chiropractor111N00000X—
Acupuncturist171100000X—
Massage Therapist primary225700000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.