Provider Demographics
NPI:1528203908
Name:HARMONY THERAPEUTIC BODYWORK
Entity Type:Organization
Organization Name:HARMONY THERAPEUTIC BODYWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-453-9924
Mailing Address - Street 1:2330 NW FLANDERS ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3442
Mailing Address - Country:US
Mailing Address - Phone:503-453-9924
Mailing Address - Fax:503-241-5485
Practice Address - Street 1:2330 NW FLANDERS ST
Practice Address - Street 2:SUITE #101
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3442
Practice Address - Country:US
Practice Address - Phone:503-453-9924
Practice Address - Fax:503-241-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6283174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty