NPI 1093244642

Repare Massage LLC

Organisation Health Maintenance Organization Portland, OR

Practice location

Address: 4004 SW Kelly Ave STE 203, Portland, OR 97239-4389
Phone: (503) 679-6881

Authorised official

Name: Leslie June Christiansen
Title: Owner/Provider
Phone: (503) 679-6881

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 8052 (OR)

Other Health Maintenance Organization providers in Oregon →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X

Registry record

NPI: 1093244642
Entity type: Organization
NPI issued: 7 Jun 2017
Record last updated: 21 Jul 2022

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.