NPI 1538567847

Will Hallett Bodywork, INC

Organisation Point of Service Portland, OR

Practice location

Address: 511 SW 10th Ave STE 1108, Portland, OR 97205-2732
Phone: (503) 224-6800
Fax: (503) 224-6800

Authorised official

Name: William T Hallett
Title: Owner/Lmt
Phone: (503) 224-6800

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 18758 (OR)

Other Point of Service providers in Oregon →

Registry record

NPI: 1538567847
Entity type: Organization
NPI issued: 18 Dec 2014
Record last updated: 18 Dec 2014

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.