BLOOMING MOON WELLNESS SPA INC. 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. BLOOMING MOON WELLNESS SPA INC. NPI is 1144574096. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1920 N KILLINGSWORTH ST
PORTLAND, OR
ZIP 97217-437
Phone: (971) 279-2757
The provider's authorized official is Ginny L Tousignant .
The authorized official title is Owner And Esthetician and has the following contact phone number (971) 279-2757.
The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.