TEAR OF THE BUDDHA LLC NPI 1770040057

NPI Information

TEAR OF THE BUDDHA LLC is a massage therapist in Portland, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. TEAR OF THE BUDDHA LLC NPI is 1770040057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

322 NW 5TH AVE
PORTLAND, OR
ZIP 97209-825
Phone: (503) 227-0206

The provider's authorized official is Tara Jeanne Golliher .
The authorized official title is Owner and has the following contact phone number (307) 699-7320.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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