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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVANATION LLC

Active Organization

REVIVANATION LLC is a Massage Therapist organization located in PORTLAND, Oregon. NPI 1629490388 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORTLAND, OR

Registration Details

NPI Number
1629490388
Provider Type
Organization
NPI Issued
Jan 15, 2014 (12.586428958761 yrs)
Last Updated
Jan 15, 2014
Licenses
AC01286 (OR)
13830 (OR)
17523 (OR)

Practice Information

Address
914 SW 11TH AVE
PORTLAND, OR, 972052001
Browse OR providers · Browse ZIP 97205
Phone
5037655333
Fax
8884954549
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist
Additional Specialty
Massage Therapist

Other Massage Therapist Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.