NPI 1083971378

Blueprint for Balance

Organisation Specialist Portland, OR

Practice location

Address: 7 SE 30th Ave, Portland, OR 97214-1902
Phone: (503) 810-4941

Authorised official

Name: Collaine Brooke Faddis
Title: Licensed Massage Therapist
Phone: (503) 810-4941

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 14317 (OR)

Other Specialist providers in Oregon →

Registry record

NPI: 1083971378
Entity type: Organization
NPI issued: 12 Apr 2012
Record last updated: 12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.