<Unavail>

LBN: Performance Bodywork Llc
<Unavail> is an health care organization with primary practice located at 2188 Sw Park Pl Suite 10, Portland OR 97205-1100. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Ambulatory Health Care Facilities / Multi-Specialty. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is the primary health care specialty. Performance Bodywork Llc can be contacted via phone (503) 568-1390, or through Holliman, Casey via phone (503) 568-1390.

Contact Information

Primary practice address
2188 Sw Park Pl Suite 10 Portland OR 97205-1100
Phone: (503) 568-1390
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holliman, Casey LMT
Phone: (503) 568-1390

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Other Service Providers / Acupuncturist 171100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1811302607
LBN Legal business name Performance Bodywork Llc
DBA Doing business as <Unavail>
Authorized official Holliman, Casey LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 25th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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