Repare Massage Llc

LBN: Repare Massage Llc
Repare Massage Llc is an health care organization with primary practice located at 4004 Sw Kelly Ave Ste 203 , Portland OR 97239-4389. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Repare Massage Llc can be contacted via phone (503) 679-6881, or through Christiansen, Leslie June via phone (503) 679-6881.

Contact Information

Primary practice address
4004 Sw Kelly Ave Ste 203 Portland OR 97239-4389
Phone: (503) 679-6881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Christiansen, Leslie June LMT
Phone: (503) 679-6881

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 8052 Oregon
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1093244642
LBN Legal business name Repare Massage Llc
DBA Doing business as
Authorized official Christiansen, Leslie June LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2017
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093244642 NPPES
Other 542966745 SS

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