PERFORMANCE BODYWORK LLC NPI 1811302607

NPI Information

PERFORMANCE BODYWORK 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. PERFORMANCE BODYWORK LLC NPI is 1811302607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surge Wellness.

The provider's business location address is:

2188 SW PARK PL
SUITE 10
PORTLAND, OR
ZIP 97205-100
Phone: (503) 568-1390

The provider's authorized official is Casey Holliman .
The authorized official title is President and has the following contact phone number (503) 568-1390.

The enumeration date for this NPI number is 7/1/2014 and was last updated on 3/12/2024.

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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